Charles H Dickerson

NPI #1699181842 in Tyler, Texas

Provider Information

NPI Number
1699181842
Entity Type
Individual
Name
Charles H Dickerson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Radiologic Technologist
Enumeration Date
Jul 9, 2014
Last Updated
Jul 9, 2014

Practice Location

Address
2208 OLD HENDERSON HWY
City
Tyler
State
Texas
ZIP Code
75702-6457
Phone
(903) 596-9729

Specialties & Taxonomy Codes

Specialty
Radiologic Technologist

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