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Jeffrey Harbold is one of 30 dermatologists practicing in Tyler, Texas .
Jeffrey Harbold practices with Oliver Street 5.01(A) Inc.
Registry record (NPPES)
NPI
1700260197
Type
Type 1 · Individual
Primary taxonomy
Dermatology · 207N00000X
Address on file
1720 S Beckham Ave Ste 102 Tyler, TX 75701-4437 (903) 618-2125
Enumerated
Jul 15, 2015
Record last updated
Aug 1, 2023
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
1720 S Beckham Ave Suite 102
Tyler , TX 75701
(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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