Individual
DERON ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8416 CAPRIOLA LN # 4, DALLAS, TX 75228-4926
(682) 564-2270
Mailing address
8416 CAPRIOLA LN # 4, DALLAS, TX 75228-4926
(682) 564-2270
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
WWK0154
TX
347C00000X
Private Vehicle
WWK0154
TX
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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