Haskell Ray Derryberry in Granbury - Family
Haskell Ray Derryberry - NPI 1093755704
Haskell Ray Derryberry is a Family in Granbury, Texas. Haskell Ray Derryberry practices all healthcare services and medical treatments related to Family. The NPI Number for Haskell Ray Derryberry is 1093755704. The last update date is 2008-06-19.
Haskell Ray Derryberry's current location address is 1322 Paluxy Rd, Granbury, Texas. You can contact this provider via phone number 8175791642. The mailing address for Haskell Ray Derryberry is 1322 Paluxy Rd, Granbury, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Haskell Ray Derryberry |
|---|---|
| Address | 1322 Paluxy Rd, Granbury, Texas |
| Phone Number | 8175791642 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1093755704 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 1322 Paluxy Rd |
|---|---|
| City | Granbury |
| State | Texas (TX) |
| Post Code | 760485603 |
| Phone Number | 8175791642 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 582138 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Haskell Ray Derryberry's 1093755704?
The Haskell Ray Derryberry's NPI (National Provider Identifier) Number is 1093755704. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Haskell Ray Derryberry?
The Haskell Ray Derryberry is physically situated at 1322 Paluxy Rd, in the city of Granbury, state of TX, with the postal code 760485603.
What is the Haskell Ray Derryberry's specialty and taxonomy code?
The Haskell Ray Derryberry's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Haskell Ray Derryberry receive the assignment of its 1093755704 from the Centers for Medicare & Medicaid Services?
The Haskell Ray Derryberry was issued its 1093755704 by the Centers for Medicare & Medicaid Services on 2006-06-08.
As of what date was the information regarding Haskell Ray Derryberry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Haskell Ray Derryberry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-19.
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