Organization
DEPARTMENT OF STATE HEALTH SERVICES
Active
Other names
Texas DSHS - HSR 4&5 Tyler
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM OLIVER (DEPUTY REGIONAL DIRECTOR)
(903) 595-3585
Entity
Organization
Contact information
Practice address
1517 W FRONT ST, ATTN BILLING OFFICE, TYLER, TX 75702-7822
(903) 595-3585
(903) 593-4187
Mailing address
1100 W 49TH ST, HSR 4&5 - TYLER, AUSTIN, TX 78756-3101
(512) 458-7111
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
—
TX
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
TX
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
TX
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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