Organization · Type 2 NPI
Oliver Street Dermatology Asc LLC
Ambulatory Surgical Clinic/Center · Tyler, TX
NPI number
1700822335
Active
Practice location
1367 Dominion Plaza
Tyler, TX 75703-1013
Fax (903) 939-0755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 007937 (TX) |
Ambulatory Surgical Clinic/Center: Definition to come...
5 other providers at this address
- Bradley Scott Graham, MDDermatology Physician Tyler, TX NPI 1083641062
- Elizabeth Stripling Morris, MDDermatology Physician Tyler, TX NPI 1134156102
- Lawrence Lazelle Anderson, MDDermatology Physician Tyler, TX NPI 1134159627
- Martha Lynn McCollough, MDDermatology Physician Tyler, TX NPI 1972530954
- William J. Grabski, MDDermatology Physician Tyler, TX NPI 1780614271
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- Dehaven Cataract Surgical Center ,incAmbulatory Surgical Clinic/Center Tyler, TX NPI 1376540096
- Eye Surgery Center of East Texas LLCAmbulatory Surgical Clinic/Center Tyler, TX NPI 1396266441
- Turtle Creek Surgery Center, LLCAmbulatory Surgical Clinic/Center Tyler, TX NPI 1437420270
- Tyler TX Asc LLCAmbulatory Surgical Clinic/Center Tyler, TX NPI 1689353823
- Turtle Creek Surgery Center LLCAmbulatory Surgical Clinic/Center Tyler, TX NPI 1699819979
About NPI 1700822335
Oliver Street Dermatology Asc LLC's National Provider Identifier is 1700822335, issued on Jun 21, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Tyler, TX. The record was last updated on Feb 6, 2013.