DEREK DANE

BRYAN, TX
NPI1578232310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA15097)
Enumeration Date2021-09-07
Last Update Date2023-11-22
Business Address
DEREK DANE PA-C
2700 E 29TH ST STE 260
BRYAN, TX 77802-2587
Phone number: 979-774-0012
Mailing Address
DEREK DANE PA-C
1426 COUNTY ROAD 436
DIME BOX, TX 77853-5248
Phone number: 979-716-7915
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