Individual
VIRGINIA JANE DEREBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1345 PHILOMENA ST, SUITE 102, AUSTIN, TX 78723-3185
(512) 324-5650
Mailing address
PO BOX 27908, AUSTIN, TX 78755-7908
(210) 860-9146
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G9952
TX
Other
Enumeration date
03/29/2007
Last updated
09/17/2009
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