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Adagio Dermatology And Aesthetics, P.a.
Specialist in Tyler, Texas
NPI 1225023070

Adagio Dermatology And Aesthetics, P.a. is a Specialist based in Tyler, TX. Adagio Dermatology And Aesthetics, P.a. practices in Tyler, TX. The NPI Number for Adagio Dermatology And Aesthetics, P.a. is 1225023070 and holds a License No. K3905 (Texas).

The current practice location address for Adagio Dermatology And Aesthetics, P.a. is 455 Rice Road, Tyler, TX and can be reached out via phone at 903-597-3376 and via fax at 903-526-7703.

Location: 455 Rice Road, Tyler, TX, 75703-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225023070
Provider Name
Adagio Dermatology And Aesthetics, P.a.
Credential
Provider Entity Type
Organization
Address
455 Rice Road, Tyler, TX, 75703-3604
Phone Number
903-597-3376
Fax Number
903-526-7703
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0082DN 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
455 Rice Road
City
Tyler
State
Texas
Zip
75703-3604
Phone Number
903-597-3376
Fax Number
903-526-7703
person
Provider Business Mailing Address Details
Address
455 Rice Road
City
Tyler
State
Texas
Zip
75703-3604
Phone Number
903-597-3376
Fax Number
903-526-7703
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
K3905 (Texas)
Definition
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.
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