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

Charles H Dickerson

Individual provider Radiologic Technologist · NPI 1699181842

Charles H Dickerson is a Radiologic Technologist in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2014

Practice location Address checks out

2208 Old Henderson Hwy
Tyler, TX 75702-6457
Phone: (903) 596-9729
Fax: (903) 747-3373
Show map & directions

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

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X · Licence 6309 (TX)

Record details

NPI number1699181842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2014
Last updated in NPPESJuly 9, 2014
Mailing address2208 Old Henderson Hwy, Tyler, TX 75702-6457

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