Derusso, Michelle L

Derusso, Michelle L is an sole proprietor health care provider with primary practice located at 6621 Fannin St , Houston TX 77030-2399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Derusso, Michelle L can be contacted via phone (512) 789-5167.

Contact Information

Primary practice address
6621 Fannin St Houston TX 77030-2399
Phone: (512) 789-5167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 227262 North Carolina

Profile Details

NPI number 1316471576
LBN Legal business name Derusso, Michelle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2017
Last updated Sep 15th, 2023 - about last year

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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