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Contact Information

DERMATOLOGY OF EAST TEXAS PA
909 ESE LOOP323 STE 110
TYLER, TX75701-9675
 Phone: 903-531-2850
 Fax: 903-531-2875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY OF EAST TEXAS PA

NPI Number 1679905673
LBN Legal business name DERMATOLOGY OF EAST TEXAS PA
Authorized official KYLE JENKINS - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2013
Last updated 06/10/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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