Individual
DERRICK COURVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10054304
TX
2085R0202X
Diagnostic Radiology Physician
Primary
307701
NY
2085R0202X
Diagnostic Radiology Physician
S8815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06340981
—
NY
Enumeration date
05/06/2015
Last updated
08/15/2025
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