Individual
DEREK MITCHUM LEBRON-FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18511 HIGHLANDER MEDICS STREET, WBAMC, FORT BLISS, TX 79918
(915) 569-3213
Mailing address
6033 LOS PUEBLOS DR, EL PASO, TX 79912-7516
(719) 209-2446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1068499
TX
367500000X
Certified Registered Nurse Anesthetist
133873
TX
367500000X
Certified Registered Nurse Anesthetist
GAA-CRNA003379
GA
Other
Enumeration date
08/25/2021
Last updated
03/06/2026
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