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Organization

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER

Active
Other names
UTHSCT HOPE TYLER
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL DESLATTE (CHIEF BUSINESS OFFICER)
(903) 877-7200
Entity
Organization

Contact information

Practice address
721 CLINIC DR STE B, TYLER, TX 75701-2043
(903) 595-7086
(903) 526-3914
Mailing address
721 CLINIC DR STE B, TYLER, TX 75701-2043
(903) 595-7086
(903) 526-3914

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1455591
TX
01
2098716
PK
Enumeration date
06/16/2006
Last updated
03/03/2026
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