Oliver Street Dermatology ASC LLC
Oliver Street Dermatology ASC LLC is an Ambulatory Surgical Clinic/Center in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1367 Dominion PlzTyler, TX 75703-1013
Phone: (903) 534-6200
Fax: (903) 939-0755
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 007937 (TX) |
|---|
Record details
| NPI number | 1700822335 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrea Stein — Practice Administrator · (903) 534-6200 |
| Other names | Dermatology Surgery Center |
| NPI enumerated | June 21, 2006 |
| Last updated in NPPES | February 6, 2013 |
| Mailing address | 1367 Dominion Plaza, Tyler, TX 75703-1013 |
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