Individual
DERICK ANDREW COWANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
10223 BROADWAY ST, SUITE P-284, PEARLAND, TX 77584-7880
(832) 248-2011
Mailing address
2800 TRANQUILITY LAKE BLVD, SUITE 2311, PEARLAND, TX 77584-4658
(832) 872-3794
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
03/08/2017
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