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

Dermatology of East Texas PA

Organization Dermatology Physician · NPI 1679905673

Dermatology of East Texas PA is a Dermatology Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

909 Ese LOOP323 Ste 110
Tyler, TX 75701-9675
Phone: (903) 531-2850
Fax: (903) 531-2875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (TX)

Record details

NPI number1679905673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Jenkins — Coo · (903) 531-2850
NPI enumeratedAugust 1, 2013
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address909 E Se Loop 323 Ste 110, Tyler, TX 75701-9675

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