William Derrick JR. FNP-C

NPI 1477958049 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1477958049
Gender Male
Enumeration Date 10/25/2014
Last Updated 10/25/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3500 W SLAUGHTER LN
AUSTIN TX, 78749-4421, US
Phone (512) 292-6832
Fax
Business Location
6708 MANCHACA RD UNIT 17
AUSTIN TX, 78745-4990, US
Phone (432) 553-6144
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Texas
License Number AP126699
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According to our database, William Derrick JR. FNP-C NPI is 1477958049, taxonomy code is 363LF0000X and license number is AP126699, license state is located at Texas. William Derrick JR. FNP-C physically located at 3500 W Slaughter Ln, Austin TX, 78749-4421. NPI Number William Derrick JR. FNP-C has the Individual type.

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1477958049 NPI number is provided on an as is basis without warranty of any kind. 1477958049 is maintained by the National Plan & Provider Enumeration System. The contents of William Derrick JR. FNP-C are for informational purposes only.