Provider Demographics
NPI:1801178355
Name:DARSEY, DREW (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:
Last Name:DARSEY
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 GAYLORD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2947
Mailing Address - Country:US
Mailing Address - Phone:713-464-8905
Mailing Address - Fax:731-461-7383
Practice Address - Street 1:9090 GAYLORD
Practice Address - Street 2:SUITE 103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2947
Practice Address - Country:US
Practice Address - Phone:713-464-8905
Practice Address - Fax:731-461-7383
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-11
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX258991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics