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SOUTH TYLER DERMATOLOGY
NPI 1568661908
Specialist in Tyler, TX

Active since July 16, 2007
5791 COPELAND RD, TYLER, TX 75703(903) 509-2020(903) 509-2355 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Tyler Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH TYLER DERMATOLOGY (NPI 1568661908) is a healthcare organization registered as a specialist in Tyler, Texas and active in the NPI registry since July 2007. The organization lists Dannise Beckley, Physcian/ Owner, as its authorized official.

NPPES Registry Identity

NPI1568661908
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH TYLER DERMATOLOGY
Location Address5791 COPELAND RDTyler, TX 75703-3905
Mailing Address5791 Copeland RdTyler, TX 75703-3905 · (903) 509-2020 · Fax (903) 509-2355
Phone(903) 509-2020
Fax(903) 509-2355
Organization SubpartNo
Authorized OfficialDannise BeckleyPhyscian/ Owner · (903) 509-2020
Enumeration DateJuly 16, 2007
✔ NPI 1568661908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · H2238
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5791 COPELAND RD, Tyler, TX 75703
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANNISE BECKLEY M.D.
Specialist
5791 COPELAND RD
TYLER, TX 75703
Smith County (903) 509-2020
THOMAS LAMBERT JR. MD
Dermatology
5791 COPELAND RD
TYLER, TX 75703
Smith County (903) 509-2020
LAMBERT DERMATOLOGY CLINIC P.A.
Dermatology
5791 COPELAND RD
TYLER, TX 75703
Smith County (903) 509-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Tyler Dermatology's NPI number?

The NPI number for South Tyler Dermatology is 1568661908. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is South Tyler Dermatology located?

South Tyler Dermatology is located at 5791 Copeland Rd, Tyler, TX 75703. The listed phone number is (903) 509-2020.

What is South Tyler Dermatology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Tyler Dermatology was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.