University Of Texas Health Science Center At Tyler-Facility-Physician

LBN: University Of Texas Health Science Center At Tyler-Facility-Physician
University Of Texas Health Science Center At Tyler-Facility-Physician is an health care organization with primary practice located at 11937 Us Highway 271 , Tyler TX 75708-3154. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine is the primary health care specialty. University Of Texas Health Science Center At Tyler-Facility-Physician can be contacted via phone (903) 877-3451, or through Kavasch, Kris via phone (903) 877-7399.

Contact Information

Primary practice address
11937 Us Highway 271 Tyler TX 75708-3154
Fax:
Website:
Authorized official contact:
Name: Kavasch, Kris

Profile Details

NPI number 1063400778
LBN Legal business name University Of Texas Health Science Center At Tyler-Facility-Physician
DBA Doing business as
Authorized official Kavasch, Kris
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2005
Last updated Jun 27th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063400778 NPPES
Texas MEDICAID 127278302

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