NPI age
19 years
Enumerated 2006-07-14
● Active Type 2 · Organization
Charles H. Dickerson
Charles H. Dickerson is 1 of 139 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dickerson
Owner
Last NPPES update
2014-06-30
Source: monthly bulk 2026-05
How this organization compares
Across 139 active clinic/center providers in Texas.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2208 Old Henderson Hwy
Tyler, TX 757026457
Mailing address
Po Box 9700
Tyler, TX 757112700
Authorized official
Charles H Dickerson, RADIOLOGIC TECHNOLOG
Owner
📞 9035969729
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Charles Dickerson Radiologic Technologist NPI 1699181842
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0860918 01 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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