Provider Demographics
NPI:1235435157
Name:SZAFRANSKI, DEREK DEAN (MA)
Entity Type:Individual
Prefix:
First Name:DEREK
Middle Name:DEAN
Last Name:SZAFRANSKI
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 N POST OAK RD
Mailing Address - Street 2:APT 1408
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7274
Mailing Address - Country:US
Mailing Address - Phone:269-420-6539
Mailing Address - Fax:
Practice Address - Street 1:1255 N POST OAK RD
Practice Address - Street 2:APT 1408
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7274
Practice Address - Country:US
Practice Address - Phone:269-420-6539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program