| University Of Texas Health Science Center At Tyler | |
|
11937 Us Highway 271 Tyler TX 75708-3154 | |
| (903) 877-7777 | |
| Not Available |
| Full Name | University Of Texas Health Science Center At Tyler |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 11937 Us Highway 271, Tyler, Texas |
| Authorized Official Name and Position | Kris Kavasch (VP FINANCE/CPO) |
| Authorized Official Contact | 9038777399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Texas Health Science Center At Tyler Po Box 731911 Dallas TX 75373-1911 Ph: (903) 877-7777 | University Of Texas Health Science Center At Tyler 11937 Us Highway 271 Tyler TX 75708-3154 Ph: (903) 877-7777 |
| NPI Number | 1003215401 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 06/27/2019 |
| Medicare PECOS PAC ID | 6709956949 |
|---|---|
| Medicare Enrollment ID | O20140620000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003215401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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