Raymond Derderian, M.D

NPI 1699779090 · on the registry since 2005 · sole proprietor

Practice

Address: 2965 Harrison St
Ste 317
Beaumont, TX 77702
Phone: (409) 554-0911
Fax: (409) 554-0912
Organisation at this address: Ivyy, P.C
Neches Clinic Pllc
Shung-Man Kurt Lee Mdpa
Fernando E Silva, Md, Pa
William A. Fawcett, Iv, Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 207RN0300X
207RN0300X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas