Mathis, Derek Andrew
Mathis, Derek Andrew is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Mathis, Derek Andrew can be contacted via phone (210) 916-4029.Contact Information
Primary practice address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston TX 78234-4504
Phone: (210) 916-4029
Fax: (210) 916-3235
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | N1391 | Texas |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD 025469 | Louisiana |
Profile Details
NPI number | 1679796544 |
---|---|
LBN Legal business name | Mathis, Derek Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | Jun 4th, 2024 - 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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