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Organization

DERMATOLOGY OF EAST TEXAS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE DAVID JENKINS (COO)
(903) 531-2850
Entity
Organization

Contact information

Practice address
909 ESE LOOP323 STE 110, TYLER, TX 75701-9675
(903) 531-2850
(903) 531-2875
Mailing address
909 E SE LOOP 323 STE 110, TYLER, TX 75701-9675
(903) 531-2850
(903) 531-2875

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
TX

Other

Enumeration date
08/01/2013
Last updated
06/10/2025
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