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

Summit Dermatology, PLLC

Organization Dermatology Physician · NPI 1912418963

Summit Dermatology, PLLC is a Dermatology Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1038 S Fleishel Ave
Tyler, TX 75701-2044
Phone: (903) 593-9474
Fax: (903) 593-9477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence K9734 (TX)
Dermatopathology Physician Taxonomy 207ND0900X · Licence K9734 (TX)

Record details

NPI number1912418963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Blaser — President · (903) 593-9474
NPI enumeratedOctober 17, 2017
Last updated in NPPESOctober 17, 2017
Mailing address1038 S Fleishel Ave, Tyler, TX 75701-2044

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