NPIMap

Organization Active NPI

University of Texas Health Science Center at Tyler

  • Psychiatric Hospital Unit
  • Tyler, TX
National Provider Identifier
1003215401
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
Practice address
11937 US Highway 271
Tyler, TX 75708-3154
Phone
(903) 877-7200
NPI assigned
Aug 21, 2014
Organization subpart
Yes
Parent organization
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Deslatte
Title
Chief Business Officer
Phone
(903) 877-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

11937 US Highway 271
Tyler, TX 75708-3154

Mailing address

PO Box 731911
Dallas, TX 75373-1911
Phone (903) 877-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140620000818 TX Part A Provider - Hospital 6709956949 1 other NPI on this enrollment
Practice locations: Tyler, TX

Hospital certification: CCN 45S690

Legal name
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
Organization structure
OtherNon-profit
Enrollment address
11937 US Highway 271
Tyler, TX 75708-3154
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
University of TX Health6 organizations share this tax ID, including this one
Part of
University of TX Health

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie V Philley Individual Corporate OfficerPresident Apr 1, 2024
W-2 Managing EmployeePresident Apr 1, 2024
Daniel Deslatte Individual Corporate OfficerSr VP Buisness Affairs, & Coo Jan 1, 2022
W-2 Managing EmployeeSr VP Buisness Affairs, & Coo Jan 1, 2022
University of Texas Health Science Center at Tyler Organization, Tyler, TX Non-profit Operational/Managerial Control Sep 1, 2007

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of Texas Health Science Center at TylerTyler, TX, CCN 450690 Hospital Operational/Managerial Control Sep 1, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1003215401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731911",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731911",
            "telephone_number": "903-877-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11937 US HIGHWAY 271",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757083154",
            "telephone_number": "903-877-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER",
        "enumeration_date": "2014-08-21",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "DESLATTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF BUSINESS OFFICER",
        "authorized_official_telephone_number": "903-877-7200"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.