Derek Dane, PA-C
Physician Assistant · Bryan, TX
Practice location
2700 E 29TH St Ste 260Bryan, TX 77802-2587
- Phone
- (979) 774-0012
- Fax
- (979) 774-4636
NPI record
- NPI
- 1578232310
- Entity type
- Individual (Type 1)
- Enumeration date
- September 7, 2021
- Last updated
- September 9, 2025
- Certified
- September 9, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA15097 | TX |
Mailing address
1426 County Road 436Dime Box, TX 77853-5248
- Phone
- (979) 716-7915
Other practice locations (6)
- 1604 Rock Prairie Rd, College Station, TX 77845-8343 · (979) 774-0012
- 2801 Franciscan Dr, Bryan, TX 77802-2544 · (979) 774-0012
- 504 Medical Center Blvd, Conroe, TX 77304-2808 · (936) 443-4417
- 500 Medical Center Blvd Ste 218, Conroe, TX 77304-2833 · (936) 756-2229
- 129 Medical Park Ln Ste A, Huntsville, TX 77340-4982 · (936) 291-3459
- 1602 Rock Prairie Rd Ste 3000, College Station, TX 77845-5989 · (979) 774-0012
About Derek Dane
Derek Dane, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2700 E 29TH St Ste 260, Bryan, TX 77802-2587. The NPI number 1578232310 was assigned on September 7, 2021 and the record was last updated on September 9, 2025.
Derek Dane lists a license in the registry: #PA15097 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Derek Dane, PA-C?
The NPI number is 1578232310.
What is the phone number of Derek Dane?
The phone number listed for the practice location is (979) 774-0012.
Where is Derek Dane located?
2700 E 29TH St Ste 260, Bryan, TX 77802-2587.
What is the taxonomy code for Derek Dane?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Kaylie E. Thomas, PA-C2801 Franciscan Dr
- Rolando Gonzales Gomez Jr., PA-C2801 Franciscan Dr
- Jonathan Ponder3201 University Dr E
- Heather Warren, PA-C2801 Franciscan Dr
- Riley Rice2801 Franciscan Dr
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