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

Jeffrey Harbold Jr., DO

Individual provider Dermatology Physician · NPI 1700260197

Jeffrey Harbold Jr., DO is a Dermatology in Tyler, Texas. Qualified in 2015, 11 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1720 S Beckham Ave Ste 102
Tyler, TX 75701-4437
Phone: (903) 618-2125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1367 Dominion Plz, Tyler, TX 75703-1013 — (903) 618-2326

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence R2868 (TX)

Record details

NPI number1700260197
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 15, 2015
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Oliver Street 5.01(A) Inc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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