Organization · Type 2 NPI
South Tyler Dermatology
Specialist · Tyler, TX
NPI number
1568661908
Active
Practice location
5791 Copeland Rd
Tyler, TX 75703-3905
Fax (903) 509-2355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | H2238 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1568661908
South Tyler Dermatology's National Provider Identifier is 1568661908, issued on Jul 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tyler, TX. The record was last updated on Jul 16, 2007.