Organization
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILTY-PHYSICIAN
Active
Other names
UT Health East Texas Physicians Overton
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DESLATTE (CHIEF BUSINESS OFFICER)
(903) 877-7200
Entity
Organization
Contact information
Practice address
102 W HENDERSON ST, OVERTON, TX 75684-1613
(903) 834-0201
(903) 834-0264
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
12/17/2024
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