Provider Demographics
NPI:1588088280
Name:WOO, DEREK ALLAN (MD, MBA)
Entity type:Individual
Prefix:
First Name:DEREK
Middle Name:ALLAN
Last Name:WOO
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14103 KELLYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6823
Mailing Address - Country:US
Mailing Address - Phone:917-592-8815
Mailing Address - Fax:
Practice Address - Street 1:13300 HARGRAVE RD STE 480
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-7374
Practice Address - Country:US
Practice Address - Phone:281-737-0587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-15
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR7929207RS0012X, 207R00000X
HIMD-22252-0207RS0012X
LA306052207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine