person
Dr. Derek C Diffendaffer, MD
Student in an Organized Health Care Education/Training Program in Houston, Texas
NPI 1558629113

Derek C Diffendaffer is a Student in an Organized Health Care Education/Training Program based in Tulsa, TX. Derek C Diffendaffer practices in Houston, TX and has the professional credentials of MD. The NPI Number for Derek C Diffendaffer is 1558629113 and holds a License No. R9206 (Texas).

The current practice location address for Derek C Diffendaffer is 7600 W Tidwell Rd Ste 103, Houston, TX and can be reached out via phone at 713-461-3573.

Location: 7600 W Tidwell Rd Ste 103, Houston, TX, 74135-2512
person
Provider Profile Details
NPI Number
1558629113
Provider Name
Derek C Diffendaffer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7600 W Tidwell Rd Ste 103, Houston, TX, 74135-2512
Phone Number
713-461-3573
Fax Number
Provider Enumeration Date
05/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7600 W Tidwell Rd Ste 103
City
State
Zip
77040-5719
Phone Number
713-461-3573
Fax Number
person
Provider Business Mailing Address Details
Address
7600 W Tidwell Rd Ste 103
City
State
Zip
77040-5719
Phone Number
713-461-3573
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
(Oklahoma)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
R9206 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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