IndividualActive
Nina Dereska, MD
NPI 1609842178 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Houston, TX
Provider details
- NPI number
- 1609842178
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- P0371 (TX)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense P0371 (TX)
Allopathic & Osteopathic Physicians
Practice location
17510 W. Grand Parkway S.
Suite #500
Houston, TX 77479
Phone: (713) 486-1530
Fax: (832) 759-5904
Approximate (ZIP-level) locationGet directions
Mailing address
17510 W. Grand Parkway S.
Houston, TX 77479
Additional practice locations (1)
- 17510 W Grand Pkwy SSuite 590Sugar Land, TX 77479-2645Phone: (713) 578-3850Fax: (713) 578-3859
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.