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

Dermatology of East Texas PA

Organization Dermatology Physician · NPI 1679905673

Dermatology of East Texas PA provides Dermatology Physician services in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
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

909 Ese LOOP323 Ste 110
Tyler, TX 75701-9675
Phone: (903) 531-2850
Fax: (903) 531-2875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (TX)

Record details

NPI number1679905673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Jenkins — Coo · (903) 531-2850
NPI enumeratedAugust 1, 2013
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address909 E Se Loop 323 Ste 110, Tyler, TX 75701-9675

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