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Derron Edison
NPI 1841185139 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3050 Modella Ave
Dallas, TX 75229 - Phone
- (907) 947-5442
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Sex
- Male
- Record last updated
- 2025-06-09
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