Durham, John Derek
Durham, John Derek is an individual health care provider with primary practice located at 1128 Clarksville St Ste. 100, Paris TX 75460-6060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Durham, John Derek can be contacted via phone (903) 785-4362.Contact Information
Primary practice address
1128 Clarksville St Ste. 100
Paris TX 75460-6060
Phone: (903) 785-4362
Fax: (903) 782-9365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K3572 | Texas |
Profile Details
| NPI number | 1376562942 |
|---|---|
| LBN Legal business name | Durham, John Derek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 4th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376562942 | NPPES |
| Texas | Other | 080179154 | INDIVIDUAL RAILROAD MC |
| Texas | Other | 124500 | INDIVIDUAL RAILROAD MC |
| Texas | Other | 8B5721 | INDIVIDUAL RAILROAD MC |
| Texas | Other | 144831802 | INDIVIDUAL RAILROAD MC |
| Texas | MEDICAID | 047352202 | INDIVIDUAL RAILROAD MC |
| Texas | Other | 5967628 | INDIVIDUAL RAILROAD MC |
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