Individual
DR. HOWARD C. DERRICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE, SUITE 958, DALLAS, TX 75246-1800
(214) 826-6276
(972) 826-6223
Mailing address
3600 GASTON AVE, WADLEY TOWER, SUITE 958, DALLAS, TX 75246-1800
(214) 826-6276
(214) 826-6223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E2186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114206904
—
TX
05
—
114206905
—
TX
01
—
8F8660
BCBS
TX
Enumeration date
07/17/2006
Last updated
08/13/2009
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