University of Texas Health Science Center at Tyler-Facility-Physician
NPI 1063400778 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Tyler, TX
Enrolled with Medicare as Mdpp Supplier - In-Person Mdpp Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
University of Texas Health Science Center at Tyler-Facility-Physician is a Sports Medicine (Neuromusculoskeletal Medicine) Physician organization in Tyler, TX (NPI 1063400778).
Provider details
- NPI number
- 1063400778
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Deslatte, Chief Business Officer(903) 877-7200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-07
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Frequently asked questions
- What is University of Texas Health Science Center at Tyler-Facility-Physician's NPI number?
- University of Texas Health Science Center at Tyler-Facility-Physician's National Provider Identifier (NPI) is 1063400778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is University of Texas Health Science Center at Tyler-Facility-Physician?
- University of Texas Health Science Center at Tyler-Facility-Physician is classified in the NPPES registry as Sports Medicine (Neuromusculoskeletal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is University of Texas Health Science Center at Tyler-Facility-Physician located?
- University of Texas Health Science Center at Tyler-Facility-Physician's practice location on file with NPPES is 11937 US Highway 271, Tyler, TX 75708-3154.
- What is University of Texas Health Science Center at Tyler-Facility-Physician's phone number?
- The practice phone number listed in the NPPES registry for University of Texas Health Science Center at Tyler-Facility-Physician is (903) 877-3451.
- Does University of Texas Health Science Center at Tyler-Facility-Physician accept Medicare?
- University of Texas Health Science Center at Tyler-Facility-Physician is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for University of Texas Health Science Center at Tyler-Facility-Physician?
- The authorized official listed on University of Texas Health Science Center at Tyler-Facility-Physician's NPPES record is Daniel Deslatte, Chief Business Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is University of Texas Health Science Center at Tyler-Facility-Physician's NPI active?
- Yes — University of Texas Health Science Center at Tyler-Facility-Physician's NPI (1063400778) is active in the NPPES registry as of the last update on 2026-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.