South Tyler Dermatology

LBN: South Tyler Dermatology
South Tyler Dermatology is an health care organization with primary practice located at 5791 Copeland Rd , Tyler TX 75703-3905. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Tyler Dermatology can be contacted via phone (903) 509-2020, or through Beckley, Dannise via phone (903) 509-2020.

Contact Information

Primary practice address
5791 Copeland Rd Tyler TX 75703-3905
Phone: (903) 509-2020
Fax: (903) 509-2355
Website:
Map and Directions
Authorized official contact:
Name: Beckley, Dannise Doctor of Medicine (MD)
Phone: (903) 509-2020

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H2238 Texas

Profile Details

NPI number 1568661908
LBN Legal business name South Tyler Dermatology
DBA Doing business as
Authorized official Beckley, Dannise Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers