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1720616204
DERRICK K HA
HOUSTON, TX
NPI
1720616204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TX V1117)
Enumeration Date
2020-03-30
Last Update Date
2024-05-17
Business Address
DERRICK K HA D.O.
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-500-6200
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Mailing Address
DERRICK K HA D.O.
6431 FANNIN ST STE MSB 5.020
HOUSTON, TX 77030-1501
Phone number: 713-500-6223
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