Individual
DIRK ANDREW DEKERLEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
4103 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 639-2384
(936) 639-9888
Mailing address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 633-5650
(936) 633-5695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00642
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PA00642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181080601
—
TX
Enumeration date
07/03/2006
Last updated
04/29/2025
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