UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN
NPI 1063400778
Neuromusculoskeletal Medicine, Sports Medicine in Tyler, TX
About University Of Texas Health Science Center At Tyler-facility-physician NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN (NPI 1063400778) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Tyler, Texas and active in the NPI registry since October 2005. The organization lists Daniel Deslatte, Chief Business Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
University Of Texas Health Science Center At Tyler-facility-physician is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
295Medicare enrollment records show 295 clinicians reassign Medicare billing to University Of Texas Health Science Center At Tyler-Facility-Physician, which bills Medicare for the services they deliver. Of these, 84 practice at this address and 198 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 42
Nearest to this location (20)
See all 295Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is University Of Texas Health Science Center At Tyler-Facility-Physician's NPI number?
The NPI number for University Of Texas Health Science Center At Tyler-Facility-Physician is 1063400778. It was assigned to this organization in the NPPES registry on October 7, 2005.
Where is University Of Texas Health Science Center At Tyler-Facility-Physician located?
University Of Texas Health Science Center At Tyler-Facility-Physician is located at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-3451.
What is University Of Texas Health Science Center At Tyler-Facility-Physician's specialty?
The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.
Is University Of Texas Health Science Center At Tyler-Facility-Physician enrolled in Medicare?
Yes. University Of Texas Health Science Center At Tyler-Facility-Physician is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through University Of Texas Health Science Center At Tyler-Facility-Physician?
According to the CMS Revalidation Reassignment List (October 2026 release), 295 clinicians in 42 Medicare specialties reassign their Medicare billing to University Of Texas Health Science Center At Tyler-Facility-Physician. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (43), Nurse Practitioner (41) and Psychiatry (30). Of these, 84 practice at this address and 198 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does University Of Texas Health Science Center At Tyler-Facility-Physician accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list University Of Texas Health Science Center At Tyler-Facility-Physician as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for University Of Texas Health Science Center At Tyler-Facility-Physician was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# University Of Texas Health Science Center At Tyler-Facility-Physician · NPI 1063400778
Neuromusculoskeletal Medicine, Sports Medicine organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since October 7, 2005.
## Identity
- **NPI:** 1063400778 (Entity type: Organization)
- **Enumerated:** October 7, 2005
- **Primary specialty:** Neuromusculoskeletal Medicine, Sports Medicine · taxonomy 204C00000X
- **Organization subpart:** No
- **Authorized official:** Daniel Deslatte, CHIEF BUSINESS OFFICER
## Practice location
- **Address:** 11937 US HIGHWAY 271, Tyler, TX 75708-3154
- **Phone:** (903) 877-3451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 295 clinicians in 42 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (43), Nurse Practitioner (41), Psychiatry (30); 84 practice at this address and 198 within 10 miles; [full list](https://npiprofile.com/npi/1063400778/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2026
- **Other identifiers:** Medicaid 127278302 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1063400778) · Data from the CMS NPPES public registry.