Organization
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DESLATTE (CHIEF BUSINESS OFFICER)
(903) 877-7200
Entity
Organization
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
Mailing address
PO BOX 731911, DALLAS, TX 75373-1911
(903) 877-7200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QC0050X
Critical Access Hospital Clinic/Center
—
—
281P00000X
Chronic Disease Hospital
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
282NW0100X
Women's Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127278304
—
TX
01
—
HH0890
BLUE CROSS TX
TX
Enumeration date
09/07/2005
Last updated
03/03/2026
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