NPI 1063400778
University of Texas Health Science Center at Tyler-Facility-Physician
Practice location
- Address
- 11937 US Highway 271, Tyler, TX 75708-3154
- Phone
- (903) 877-3451
- Mailing address
- PO Box 731912, Dallas, TX 75373-1912
Authorised official
- Name
- Daniel Deslatte
- Title
- Chief Business Officer
- Phone
- (903) 877-7200
Registered specialties (2)
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
General Practice Physician
Registry record
- NPI
- 1063400778
- Entity type
- Organization
- NPI issued
- 7 Oct 2005
- Record last updated
- 3 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.