NPI age
19 years
Enumerated 2006-06-21
● Active Type 2 · Organization
Oliver Street Dermatology Asc Llc
Oliver Street Dermatology Asc Llc is 1 of 1647 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stein
Practice Administrator
Last NPPES update
2013-02-06
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1367 Dominion Plaza
Tyler, TX 757031013
Mailing address
1367 Dominion Plaza
Tyler, TX 757031013
Authorized official
Andrea Lynne Stein, RN
Practice Administrator
📞 9035346200
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Lawrence Anderson, MD Dermatology NPI 1134159627
- William Grabski, MD Dermatology NPI 1780614271
- Bradley Graham, MD Dermatology NPI 1083641062
- Martha McCollough, MD Dermatology NPI 1972530954
- Elizabeth Morris, MD Dermatology NPI 1134156102
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00044713 | RAILROAD MEDICARE PTAN |
| 05 (TX) | 162384501 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dermatology Surgery Center
Practice context
Multi-provider organization. 5 individual providers 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.