Derderian, Courtney Kowalczyk

Derderian, Courtney Kowalczyk is an individual health care provider with primary practice located at 1935 Medical District Dr Department Of Anesthesiology, Dallas TX 75235-7701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Derderian, Courtney Kowalczyk can be contacted via phone (214) 456-6393.

Contact Information

Primary practice address
1935 Medical District Dr Department Of Anesthesiology Dallas TX 75235-7701
Phone: (214) 456-6393
Fax: (214) 456-7232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X P2708 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X P2708 Texas

Profile Details

NPI number 1699978346
LBN Legal business name Derderian, Courtney Kowalczyk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Nov 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699978346 NPPES
Texas MEDICAID 3054389 01

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