Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology and Laser Center of Tyler, PA

Organization Specialist · NPI 1568515047

Dermatology and Laser Center of Tyler, PA is a Specialist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

700 Olympic Plaza Cir Ste 404
Tyler, TX 75701-1951
Phone: (903) 595-2737
Fax: (903) 592-2732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G0686 (TX)

Record details

NPI number1568515047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Davis — Owner Physician · (903) 595-2737
NPI enumeratedJanuary 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address700 Olympic Plaza Cir, Suite 404, Tyler, TX 75701-1951

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