Organization
SOUTH TYLER DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNISE BECKLEY M.D (PHYSCIAN/ OWNER)
(903) 509-2020
Entity
Organization
Contact information
Practice address
5791 COPELAND RD, TYLER, TX 75703-3905
(903) 509-2020
(903) 509-2355
Mailing address
5791 COPELAND RD, TYLER, TX 75703-3905
(903) 509-2020
(903) 509-2355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H2238
TX
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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