DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVER STREET DERMATOLOGY ASC LLC

Active Organization

OLIVER STREET DERMATOLOGY ASC LLC is a Ambulatory Surgical Center organization located in TYLER, Texas. NPI 1700822335 is currently active in the NPPES registry. Verify at CMS.

Ambulatory Surgical Center · TYLER, TX

Registration Details

NPI Number
1700822335
Provider Type
Organization
NPI Issued
Jun 21, 2006 (20.170200816654 yrs)
Last Updated
Feb 6, 2013
License
007937 (TX)

Practice Information

Address
1367 DOMINION PLAZA
TYLER, TX, 757031013
Browse TX providers · Browse ZIP 75703
Phone
9035346200
Fax
9039390755
Primary Specialty
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.