OrganizationActive
Department of State Health Services
NPI 1003982117 · State or Local Public Health Clinic/Center · Tyler, TX
Provider details
- NPI number
- 1003982117
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Oliver, Deputy Regional Director(903) 595-3585
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ambulatory Family Planning Facility261QA0005X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1517 W Front St
Attn Billing Office
Tyler, TX 75702-7822
Phone: (903) 595-3585
Fax: (903) 593-4187
Approximate (ZIP-level) locationGet directions
Mailing address
1100 W 49th St
Austin, TX 78756-3101
Other names (DBA / former)
- Doing business as
- Texas Dshs - Hsr 4&5 Tyler
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.