NPI 1043189053
Maya Derhake, MSCGC
Practice location
- Address
- 750 8th Ave, Fort Worth, TX 76104-2515
- Phone
- (682) 885-2170
- Mailing address
- PO Box 733784, Dallas, TX 75373-3784
Registered specialties
Genetic Counselor (M.S.)
Primary
Registry record
- NPI
- 1043189053
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Oct 2025
- Record last updated
- 28 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.