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SUMMIT DERMATOLOGY PLLC NPI 1912418963


NPI Information

NPI: 1912418963
Provider Name: SUMMIT DERMATOLOGY, PLLC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
1038 S FLEISHEL AVE
TYLER, TX
ZIP 75701
Phone: (903) 593-9474
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SUMMIT DERMATOLOGY, PLLC is a dermatology in Tyler, TX. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SUMMIT DERMATOLOGY, PLLC NPI is 1912418963. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1038 S FLEISHEL AVE
TYLER, TX
ZIP 75701-044
Phone: (903) 593-9474
Fax: (903) 593-9477

The provider's authorized official is Jason L Blaser .
The authorized official title is President and has the following contact phone number (903) 593-9474.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 10/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyK9734TEXASNo
2207N00000XDermatologyK9734TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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