P Praxis·MD
● Active Type 1 · Individual

Martha Lynn McCollough, MD

Dermatology·Tyler, TX· NPI 1972530954 · Enumerated 2006 · 19 years on NPI
McCollough is 1 of 20 dermatology providers in Tyler and 1 of 1632 in Texas.
NPI age
19 years
Enumerated 2006-06-27
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-05-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1632 active dermatology providers in Texas.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
1367 Dominion Plaza
Tyler, TX 757031013
📞 9035346200
Mailing address
1367 Dominion Plaza
Tyler, TX 757031013

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    TX license #J5401 taxonomy 207N00000X
  • Dermatology
    A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue...
    TX license #J5401 taxonomy 207ND0900X

Identifiers

TypeValueNotes
01 (TX) 85Z813 BLUE CROSS AND BLUE SHIELD PATHOLOGY
05 (TX) 044554601
01 (TX) 070012699 RAILROAD MEDICARE PTAN
01 (TX) 8A2686 BLUE CROSS AND BLUE SHIELD CLINIC

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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