Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology and Laser Center of Tyler, PA

Organization Specialist · NPI 1568515047

Dermatology and Laser Center of Tyler, PA provides Specialist services in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Olympic Plaza Cir Ste 404
Tyler, TX 75701-1951
Phone: (903) 595-2737
Fax: (903) 592-2732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G0686 (TX)

Record details

NPI number1568515047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Davis — Owner Physician · (903) 595-2737
NPI enumeratedJanuary 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address700 Olympic Plaza Cir, Suite 404, Tyler, TX 75701-1951

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