OrganizationActive
Adagio Dermatology and Aesthetics, P.A.
NPI 1225023070 · Specialist · Tyler, TX
Provider details
- NPI number
- 1225023070
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- Laura Haygood, President
- License
- K3905 (TX)
Practice location
455 Rice Road
Ste. 104
Tyler, TX 75703-3604
Phone: (903) 597-3376
Fax: (903) 526-7703
Mailing address
455 Rice Road
Tyler, TX 75703-3604
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2015-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.