OLIVER STREET DERMATOLOGY ASC LLC

TYLER, TX
NPI1700822335
Doing Business AsDERMATOLOGY SURGERY CENTER
Entity TypeOrganization
Authorized ContactANDREA LYNNE STEIN
Practice Administrator
903-534-6200
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: TX  007937)
Enumeration Date2006-06-21
Last Update Date2013-02-06
Business Address
OLIVER STREET DERMATOLOGY ASC LLC
1367 DOMINION PLAZA
TYLER, TX 75703-1013
Phone number: 903-534-6200
Mailing Address
OLIVER STREET DERMATOLOGY ASC LLC
1367 DOMINION PLAZA
TYLER, TX 75703-1013
Phone number: 903-534-6200