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CHARLES H DICKERSON
NPI 1699181842
Radiologic Technologist in Tyler, TX

Active since July 09, 2014
2208 OLD HENDERSON HWY, TYLER, TX 75702(903) 596-9729(903) 747-3373 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles H Dickerson NPPES

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

CHARLES H DICKERSON (NPI 1699181842) is an individual radiologic technologist in Tyler, Texas, licensed in Texas (6309) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1699181842
Entity TypeIndividualMale
Primary Taxonomy247100000X
Provider Legal NameCHARLES H DICKERSON
Location Address2208 OLD HENDERSON HWYTyler, TX 75702-6457
Mailing Address2208 Old Henderson HwyTyler, TX 75702-6457 · (903) 596-9729 · Fax (903) 747-3373
Phone(903) 596-9729
Fax(903) 747-3373
Sole ProprietorYes
Enumeration DateJuly 9, 2014
✔ NPI 1699181842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
License✔ Licensed in TX · 6309
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
2208 OLD HENDERSON HWY, Tyler, TX 75702
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Other Identifiers 2

Medicaid0860918-01TX
Medicare UPIN459845TX

Other Providers at the Same Location NPPES

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

CHARLES H. DICKERSON
Clinic/Center (Radiology, Mobile)
2208 OLD HENDERSON HWY
TYLER, TX 75702
Smith County (903) 596-9729

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 Charles Dickerson's NPI number?

The NPI number for Charles Dickerson is 1699181842. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Charles Dickerson located?

Charles Dickerson practices at 2208 Old Henderson Hwy, Tyler, TX 75702. The listed phone number is (903) 596-9729.

What is Charles Dickerson's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Charles Dickerson was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.