Provider Demographics
NPI:1609851849
Name:ENGLISH, DARRELL D (DO)
Entity Type:Individual
Prefix:MR
First Name:DARRELL
Middle Name:D
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1643 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HEARNE
Mailing Address - State:TX
Mailing Address - Zip Code:77859-3873
Mailing Address - Country:US
Mailing Address - Phone:979-279-9913
Mailing Address - Fax:979-279-9941
Practice Address - Street 1:1643 N MARKET ST
Practice Address - Street 2:
Practice Address - City:HEARNE
Practice Address - State:TX
Practice Address - Zip Code:77859-3873
Practice Address - Country:US
Practice Address - Phone:979-279-9913
Practice Address - Fax:979-279-9941
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4189207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154646705Medicaid
TXH66848Medicare UPIN
TX154646705Medicaid
TXP00344396Medicare PIN
5914970001Medicare Oscar/Certification