Individual
JEFFREY DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
107 N CHURCH ST, TROUP, TX 75789-1201
(214) 558-6996
Mailing address
107 N CHURCH ST, TROUP, TX 75789-1201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4792
TX
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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