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NPI 1730110651

IndividualActive

Adair Deberry-Carlisle, D.O.

NPI 1730110651 · Surgery Physician · Tyler, TX

Provider details

NPI number: 1730110651
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: D.O.
Sex: Female
Sole proprietor: Yes
License: 1974 (NE)

Practice location

630 S Fleishel Ave

Tyler, TX 75701-2041

Phone: (903) 606-5560

More TX providers

Mailing address

988102 Nebraska Medical Center

Omaha, NE 68198-8102

Registry dates

Enumerated: 2006-07-06
Last updated: 2025-06-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adair Deberry-Carlisle, D.O. — NPI 1730110651, Tyler, TX | NPI Central