MEDICARE: DEREK COLE POLLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT120858	TX

General Provider Information

NPI Number	:	1760370480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEREK COLE POLLEY

Provider Business Mailing Address
First Line	:	20915 WILDERNESS OAK APT 6201
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-2608
Country	:	US
Telephone Number	:	210-386-2038
Fax Number	:

Provider Business Practice Location Address
First Line	:	20915 WILDERNESS OAK APT 6201
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-2608
Country	:	US
Telephone Number	:	210-386-2038
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	07/04/2025

Similar Medicare Providers

1881961191 — CRAWFORD MEDICAL SUPPLIES LLC
Practice Location Address:

2608 N MAIN AVE , SUITE 2
SAN ANTONIO, TX
78212-2919

Practice Phone: 210-225-7400
Practice Fax: 210-569-6266

1649135112 — TINA TRUONG
Practice Location Address:

2221 ENBORG LN STE 1J018
SAN JOSE, CA
95128-2608

Practice Phone: 408-793-6141
Practice Fax:

1821094970 — DR. THUAN MOC LUU D.P.M., D.C.
Practice Location Address:

2114 SENTER RD , STE 18
SAN JOSE, CA
95112-2608

Practice Phone: 408-286-1234
Practice Fax:

1952309627 — THUY NGUYEN
Practice Location Address:

2114 SENTER RD , STE 26
SAN JOSE, CA
95112-2608

Practice Phone: 408-298-1385
Practice Fax: 408-298-0574

1073564548 — DR. COLIN DAVID RUDOLPH M.D.
Practice Location Address:

156 PARKER AVENUE
SAN FRANCISCO, CA
94118-2608

Practice Phone: 415-317-6342
Practice Fax:

1063442663 — TRANG UYEN DO M.D.
Practice Location Address:

2114 SENTER RD , SUITE 15
SAN JOSE, CA
95112-2608

Practice Phone: 408-975-9800
Practice Fax:

Directions to “ DEREK COLE POLLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.