Organization
DERMATOLOGY AND LASER CENTER OF TYLER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD S DAVIS M.D. (OWNER PHYSICIAN)
(903) 595-2737
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIR, SUITE 404, TYLER, TX 75701-1951
(903) 595-2737
(903) 592-2732
Mailing address
700 OLYMPIC PLAZA CIR, SUITE 404, TYLER, TX 75701-1951
(903) 595-2737
(903) 592-2732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G0686
TX
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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