Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERICK L HAIRSTON II, CPT
Active Sole ProprietorMR. DERICK L HAIRSTON II, CPT is a Contractor healthcare provider located in CAPITOL HEIGHTS, Maryland. NPI 1568860708 is currently active in the NPPES registry. Verify at CMS.
Contractor · CAPITOL HEIGHTS, MD
Registration Details
- NPI Number
- 1568860708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2014 (11.650591060448 yrs)
- Last Updated
- Jan 9, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
612 LARCHMONT AVECAPITOL HEIGHTS, MD, 207432839Browse MD providers · Browse ZIP 20743
- Phone
- 2029102252
- Primary Specialty
-
Contractor
171W00000X
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.