Individual
DEREK JESSE ERSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7200 CAMBRIDGE ST, HOUSTON, TX 77030-4202
(713) 798-2400
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(832) 728-7376
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L-255533
MA
208600000X
Surgery Physician
S6830
TX
2086X0206X
Surgical Oncology Physician
S6830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416262001
—
TX
01
—
416262002
OTHER CSHCN
TX
01
—
8NJ639
BCBS
TX
Enumeration date
06/05/2013
Last updated
12/21/2023
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