- Practice location
- 630 S Fleishel Ave, Tyler, TX 75701-2041
- Phone
- 903-606-5560
- Fax
- —
- Last updated
- October 28, 2026
Adair Deberry-Carlisle is a Surgery based in Tyler, TX. Adair Deberry-Carlisle practices in Tyler, TX and has the professional credentials of DO. The NPI Number for Adair Deberry-Carlisle is 1730110651 and holds a License No. 302447 (NY). The current practice location address for Adair Deberry-Carlisle is 630 S Fleishel Ave, Tyler, TX 75701-2041 and can be reached out via phone at 903-606-5560.
Provider Profile Details
- NPI Number
- 1730110651
- Provider Name
- Adair Deberry-Carlisle
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 630 S Fleishel Ave, Tyler, TX 75701-2041
- Phone Number
- 903-606-5560
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 6, 2006
- Last Update Date
- October 28, 2026
- Certification Date
- October 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 630 S Fleishel Ave
Tyler, TX 75701-2041 - City
- Tyler
- State
- Texas
- Zip
- 75701-2041
- Phone Number
- 903-606-5560
Provider Business Mailing Address Details
- Address
- 988102 Nebraska Medical Ctr
Omaha, NE 68198-8102 - City
- Omaha
- State
- NE
- Zip
- 68198-8102
License Information
- License Number (1)
- 302447
- License State (1)
- NY
- Taxonomy (1)
- Surgery, Surgical Critical Care · 2086S0102X
- License Number (2)
- 302447
- License State (2)
- NY
- Taxonomy (2)
- Surgery · 208600000X
- License Number (3)
- 1974
- License State (3)
- NE
- Taxonomy (3)
- Surgery, Trauma Surgery · 2086S0127X
- License Number (4)
- 1027941
- License State (4)
- MA
- Taxonomy (4)
- Surgery, Trauma Surgery · 2086S0127X
- License Number (5)
- 1974
- License State (5)
- NE
- Taxonomy (5)
- Surgery · 208600000X
- License Number (6)
- M0050
- License State (6)
- TX
- Taxonomy (6)
- Surgery · 208600000X · Primary
- License Number (7)
- 1027941
- License State (7)
- MA
- Taxonomy (7)
- Surgery, Surgical Critical Care · 2086S0102X
- License Number (8)
- 6836
- License State (8)
- OK
- Taxonomy (8)
- Surgery, Trauma Surgery · 2086S0127X
- License Number (9)
- 007921
- License State (9)
- AZ
- Taxonomy (9)
- Surgery, Trauma Surgery · 2086S0127X
- License Number (10)
- 71035-21
- License State (10)
- WI
- Taxonomy (10)
- Surgery, Trauma Surgery · 2086S0127X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Andreina G Acconciagioco, DMDDentist, General Practice · NPI 1376306027
- Alejandro De Los SantosInternal Medicine · NPI 1558527846
- Dr. Ranadhir R Beereddy, MDHospitalist · NPI 1508164096
Frequently Asked Questions
What is the NPI number of Dr. Adair Deberry-Carlisle, DO?
The NPI number of Dr. Adair Deberry-Carlisle, DO is 1730110651. It was assigned on July 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Adair Deberry-Carlisle, DO?
Dr. Adair Deberry-Carlisle, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in NY under license number 302447.
Where does Dr. Adair Deberry-Carlisle, DO practice?
The practice location is 630 S Fleishel Ave, Tyler, TX 75701-2041. The office can be reached at 903-606-5560 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730110651 directly on the NPPES registry website.