Individual
DERRICK L GARRETT
Active
Individual
DERRICK L GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K2332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050069838
MEDICARE RAILROAD
TX
05
—
125633101
—
TX
01
—
87W157
BLUE CROSS
TX
01
—
MDK2332
WORKERS COMPENSATION
TX
Enumeration date
10/16/2006
Last updated
04/13/2012
Update your record
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