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South Tyler Dermatology
Specialist in Tyler, Texas
NPI 1568661908

South Tyler Dermatology is a Specialist based in Tyler, TX. South Tyler Dermatology practices in Tyler, TX. The NPI Number for South Tyler Dermatology is 1568661908 and holds a License No. H2238 (Texas).

The current practice location address for South Tyler Dermatology is 5791 Copeland Rd, Tyler, TX and can be reached out via phone at 903-509-2020 and via fax at 903-509-2355.

Location: 5791 Copeland Rd, Tyler, TX, 75703-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568661908
Provider Name
South Tyler Dermatology
Credential
Provider Entity Type
Organization
Address
5791 Copeland Rd, Tyler, TX, 75703-3905
Phone Number
903-509-2020
Fax Number
903-509-2355
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5791 Copeland Rd
City
Tyler
State
Texas
Zip
75703-3905
Phone Number
903-509-2020
Fax Number
903-509-2355
person
Provider Business Mailing Address Details
Address
5791 Copeland Rd
City
Tyler
State
Texas
Zip
75703-3905
Phone Number
903-509-2020
Fax Number
903-509-2355
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H2238 (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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