NPI age
11 years
Enumerated 2014-07-09
● Active
Type 1 · Individual
Charles H Dickerson
Dickerson is 1 of 2 radiologic technologist providers in Tyler and 1 of 107 in Texas.
Primary specialty
Radiologic Technologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 107 active radiologic technologist providers in Texas.
NPI age
11 years
↓ 6 yr below median (17 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-07Enumerated in NPPES
2014
2026
Where they practice
Practice location
2208 Old Henderson Hwy
Tyler, TX 757026457
Mailing address
2208 Old Henderson Hwy
Tyler, TX 757026457
Specialties
-
Radiologic Technologist PrimaryA medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0860918-01 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.