institution
Charles H. Dickerson
Mobile Radiology Clinic/Center in Tyler, Texas
NPI 1578589503

Charles H. Dickerson is a Mobile Radiology Clinic/Center based in Tyler, TX and is specialized in Radiology, Mobile. Charles H. Dickerson practices in Tyler, TX. The NPI Number for Charles H. Dickerson is 1578589503 and holds a License No. 6309 (Texas).

The current practice location address for Charles H. Dickerson is 2208 Old Henderson Hwy, Tyler, TX and can be reached out via phone at 903-596-9729 and via fax at 903-596-7206.

Location: 2208 Old Henderson Hwy, Tyler, TX, 75711-2700
institution
Provider Profile Details
NPI Number
1578589503
Provider Name
Charles H. Dickerson
Credential
Provider Entity Type
Organization
Address
2208 Old Henderson Hwy, Tyler, TX, 75711-2700
Phone Number
903-596-9729
Fax Number
903-596-7206
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0860918 01 05 TX
institution
Provider Business Practice Location Address Details
Address
2208 Old Henderson Hwy
City
State
Zip
75702-6457
Phone Number
903-596-9729
Fax Number
903-596-7206
person
Provider Business Mailing Address Details
Address
2208 Old Henderson Hwy
City
State
Zip
75702-6457
Phone Number
903-596-9729
Fax Number
903-596-7206
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mobile
Taxonomy
License No.
6309 (Texas)
Definition
Definition to come...
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