Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES QUINCEY DERRICK, PA
ActiveMR. JAMES QUINCEY DERRICK, PA is a Physician Assistant healthcare provider located in TIERRA AMARILLA, New Mexico. NPI 1346471802 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TIERRA AMARILLA, NM
Registration Details
- NPI Number
- 1346471802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2009 (17.030517083312 yrs)
- Last Updated
- Aug 22, 2011
- License
-
PA2009-0016 (NM)
Practice Information
- Address
-
CR 0324 HWY 84 N #14TIERRA AMARILLA, NM, 87575Browse NM providers · Browse ZIP 87575
- Phone
- 5755887252
- Fax
- 5755889132
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TIERRA AMARILLA, NM
| Name | Credential | NPI |
|---|---|---|
| LYDIA ROSE JARKA | PA-C | 1851128326 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.