Individual
DR. TONY WESLEY DERAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
123 BLUE HERON DR, STE 104, MONTGOMERY, TX 77316-3192
(936) 582-0404
(936) 582-0410
Mailing address
123 BLUE HERON DR, STE 104, MONTGOMERY, TX 77316-3192
(936) 582-0404
(936) 582-0410
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
8344
TX
Other
Enumeration date
08/15/2006
Last updated
09/14/2011
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