University of Texas Health Science Center at Tyler-Facility-Physician
University of Texas Health Science Center at Tyler-Facility-Physician is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Tyler, Texas. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
11937 US Highway 271Tyler, TX 75708-3154
Phone: (903) 877-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) | Taxonomy 204C00000X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1063400778 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Deslatte — Chief Business Officer · (903) 877-7200 |
| NPI enumerated | October 7, 2005 |
| Last updated in NPPES | March 3, 2026 |
| Certification date | March 3, 2026 |
| Mailing address | Po Box 731912, Dallas, TX 75373-1912 |