Individual
DERRICK F PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 FERGUSON DR, AUSTIN, TX 78753-3006
(512) 339-9757
(512) 339-9747
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 977-1438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
154225
TX
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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