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Diego Marra is one of 30 dermatologists practicing in Tyler, Texas .
Diego Marra practices with Oliver Street 5.01(A) Inc.
Registry record (NPPES)
NPI
1023174414
Type
Type 1 · Individual
Primary taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Address on file
2801 S Hulen St Ste 400 Fort Worth, TX 76109-1528 (817) 921-2838
Enumerated
Dec 29, 2006
Record last updated
Oct 13, 2017
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXDermatology
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1367 Dominion Plz
Tyler , TX 75703
(903) 534-6200
More dermatologists in Tyler
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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