Individual
DERA NASSRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16804 FALCON SOUND DR, MONTGOMERY, TX 77356-8386
(225) 335-1284
Mailing address
16804 FALCON SOUND DR, MONTGOMERY, TX 77356-8386
(225) 335-1284
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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