Individual
DR. DEREK KYLE MAXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9907 S HIGHWAY 6, SUITE 360, SUGAR LAND, TX 77498-4995
(832) 328-0303
(832) 328-0404
Mailing address
9907 S HIGHWAY 6 STE 360, SUGAR LAND, TX 77498-4997
(832) 328-0303
(832) 328-0404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608318
BCBS
TX
01
—
612980
MEDICARE PTAN
TX
Enumeration date
10/13/2006
Last updated
06/12/2009
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