Organization · Type 2 NPI
Charles H. Dickerson
Mobile Radiology Clinic/Center · Tyler, TX
NPI number
1578589503
Active
Practice location
2208 Old Henderson Hwy
Tyler, TX 75702-6457
Fax (903) 596-7206
Mailing address
PO Box 9700
Tyler, TX 75711-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mobile Radiology Clinic/Center Primary | 261QR0208X | 6309 (TX) |
Mobile Radiology Clinic/Center: Definition to come...
Another provider at this address
Other mobile radiology clinic/center providers in Tyler
About NPI 1578589503
Charles H. Dickerson's National Provider Identifier is 1578589503, issued on Jul 14, 2006. The primary taxonomy on file is Mobile Radiology Clinic/Center (261QR0208X), and the practice location is in Tyler, TX. The record was last updated on Jun 30, 2014.