Healthcare Provider Details

I. General information

NPI: 1831119361
Provider Name (Legal Business Name): FRANCIS F DERK D.P.M
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 11/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 MEMORIAL BLVD
KERRVILLE TX
78028-5768
US

IV. Provider business mailing address

3026 HILLCREST DR
SAN ANTONIO TX
78201-7006
US

V. Phone/Fax

Practice location:
  • Phone: 830-792-2660
  • Fax:
Mailing address:
  • Phone: 210-520-2312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1129
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: