Charles H. Dickerson

Charles H. Dickerson is a healthcare organization registered as Mobile Radiology Clinic/Center in Tyler, TX, holding Type 2 (organization) NPI 1578589503 since 2006. The authorized official on file is Charles Dickerson, Owner.

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NPI	1578589503
Entity type	Organization (Type 2)
Legal business name	Charles H. Dickerson
Practice address	2208 OLD HENDERSON HWY, Tyler, TX, 75702
Phone	9035969729
Fax	9035967206
Enumeration date	2006-07-14
Last updated in NPPES	2014-06-30

Authorized official

Name	Charles Dickerson
Title	Owner
Phone	9035969729

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QR0208X	Mobile Radiology Clinic/Center	Primary	6309	TX

Other identifiers

Identifier	Type	State	Issuer
0860918 01	Medicaid	TX	—

Copy-ready billing details

Provider: Charles H. Dickerson
NPI: 1578589503
Taxonomy: 261QR0208X (Mobile Radiology Clinic/Center)
Address: 2208 OLD HENDERSON HWY, Tyler, TX, 75702

Providers at this address

NPI	Name	Type	Specialty	Location
1699181842	Charles Dickerson	Individual	Radiologic Technologist	Tyler, TX

Verify this record

Cross-check NPI 1578589503 against the authoritative CMS record: view Charles H. Dickerson on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-06-30. Verify at npiregistry.cms.hhs.gov.

Where is Charles H. Dickerson located?

The practice location on file with NPPES is in Tyler, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-06-30.