Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Derick L Hairston II, CPT

Individual provider Contractor · NPI 1568860708

Mr. Derick L Hairston II, CPT is a Contractor in Capitol Heights, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2014
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Practice location Address checks out

612 Larchmont Ave
Capitol Heights, MD 20743-2839
Phone: (202) 910-2252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X (MD)

Record details

NPI number1568860708
Entity typeIndividual (Type 1)
GenderMale
Credentials CPT
Sole proprietorYes
NPI enumeratedDecember 19, 2014
Last updated in NPPESJanuary 9, 2015