Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES H DICKERSON
Active Sole ProprietorCHARLES H DICKERSON is a Radiologic Technologist healthcare provider located in TYLER, Texas. NPI 1699181842 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · TYLER, TX
Registration Details
- NPI Number
- 1699181842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2014 (12.108784288811 yrs)
- Last Updated
- Jul 9, 2014
- License
-
6309 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2208 OLD HENDERSON HWYTYLER, TX, 757026457Browse TX providers · Browse ZIP 75702
- Phone
- 9035969729
- Fax
- 9037473373
- Primary Specialty
-
Radiologic Technologist
247100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.