Erstad, Derek Jesse

Erstad, Derek Jesse is an individual health care provider with primary practice located at 7200 Cambridge St , Houston TX 77030-4202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Erstad, Derek Jesse can be contacted via phone (713) 798-2400.

Contact Information

Primary practice address
7200 Cambridge St Houston TX 77030-4202
Phone: (713) 798-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X S6830 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X S6830 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X L-255533 Massachusetts

Profile Details

NPI number 1851739577
LBN Legal business name Erstad, Derek Jesse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Dec 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851739577 NPPES
Texas MEDICAID 416262001
Texas Other 8NJ639
Texas Other 416262002

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