NPI 1083090625

Ryan Derrah

Practitioner Emergency Medicine Physician Fort Hood, TX

Practice location

Address: 36065 Santa Fe Ave, Fort Hood, TX 76544-5060
Phone: (503) 539-6893
Mailing address: 5412 Southern Crossing Dr, Temple, TX 76502-7703

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 31328 (NE)

Other Emergency Medicine providers in Texas →

Registry record

NPI: 1083090625
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2015
Record last updated: 19 Aug 2020

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.