University of Texas Health Science Center at Tyler-Facility-Physician

NPI #1063400778 in Tyler, Texas

Provider Information

NPI Number
1063400778
Entity Type
Organization
Organization Name
University of Texas Health Science Center at Tyler-Facility-Physician
Primary Specialty
Neuromusculoskeletal Medicine, Sports Medicine
Enumeration Date
Oct 7, 2005
Last Updated
Jun 27, 2019

Practice Location

Address
11937 US HIGHWAY 271
City
Tyler
State
Texas
ZIP Code
75708-3154
Phone
(903) 877-3451

Authorized Official

Name
KRIS KAVASCH
Title
VP FINANCE/CFO
Phone
(903) 877-7399

Specialties & Taxonomy Codes

Specialty
General Practice
Neuromusculoskeletal Medicine, Sports Medicine

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