Individual
DERRICK L GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-9181
(361) 572-5126
Mailing address
1501 E MOCKINGBIRD LN, STE 220, VICTORIA, TX 77904-2139
(913) 234-1350
(913) 234-1108
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
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