Charles H. Dickerson in Tyler - Radiology, Mobile
Charles H. Dickerson - NPI 1578589503
Charles H. Dickerson is a Radiology, Mobile in Tyler, Texas. Charles H. Dickerson practices all healthcare services and medical treatments related to Radiology, Mobile. The NPI Number for Charles H. Dickerson is 1578589503. The last update date is 2014-06-30.
Charles H. Dickerson's current location address is Po Box 9700, Tyler, Texas. You can contact this provider via phone number 9035969729 and fax number 9035967206. The mailing address for Charles H. Dickerson is Po Box 9700, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles H. Dickerson |
|---|---|
| Address | Po Box 9700, Tyler, Texas |
| Phone Number | 9035969729 |
| Fax Number | 9035967206 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dickerson H Charles |
| Credentials | RADIOLOGIC |
| Telephone Number | 9035969729 |
NPI Number Detail
| NPI Number | 1578589503 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2014-06-30 |
Provider Mailing Address Detail
| Address | Po Box 9700 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757112700 |
| Phone Number | 9035969729 |
| Fax Number | 9035967206 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology, Mobile |
|---|---|
| Taxonomy | 261Qr0208X |
| Licence No | 6309 |
|
Definition: Provides radiology services at remote locations using self-contained imaging equipment vehicles. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0860918 01 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles H. Dickerson by the Centers for Medicare & Medicaid Services?
The Charles H. Dickerson has been assigned the NPI (National Provider Identifier) 1578589503. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Charles H. Dickerson's facilities are geographically located?
The facilities of Charles H. Dickerson are physically situated at the following location: Po Box 9700, Tyler, TX, 757112700.
What is Charles H. Dickerson's area of expertise and its corresponding taxonomy classification?
The Charles H. Dickerson's field of specialization is Radiology, Mobile, and it falls under the taxonomy code 261Qr0208X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1578589503 assigned to Charles H. Dickerson?
The Charles H. Dickerson was issued its 1578589503 on 2006-07-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Charles H. Dickerson most recently updated or revised?
The information pertaining to Charles H. Dickerson, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-30.
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