Department of State Health Services

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

DEPARTMENT OF STATE HEALTH SERVICES

Doing business as

Texas DSHS - HSR 4&5 Tyler

Practice address

1517 W Front St
Attn Billing Office
Tyler, TX 75702-7822

Phone

(903) 595-3585

Fax

(903) 593-4187

NPI assigned

Nov 28, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Oliver

Title

Deputy Regional Director

Phone

(903) 595-3585

Specialties & licenses 3

Addresses

Other names 1

• Texas DSHS - HSR 4&5 Tyler Doing business as

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003982117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 49TH ST",
            "address_2": "HSR 4&5 - TYLER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563101",
            "telephone_number": "512-458-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 W FRONT ST",
            "address_2": "ATTN BILLING OFFICE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027822",
            "telephone_number": "903-595-3585",
            "fax_number": "903-593-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF STATE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DEPUTY REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "903-595-3585"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas DSHS - HSR 4&5 Tyler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Wayne Dennis, MD
• Lester Jay Denson Jr.
• Melinda Denson
• Dentistry of Texas, PC
• Samantha P Denton, PA-C
• Dept of Assistive & Rehab Serv - Tyler Field Headquarters
• Dermatology and Laser Center of Tyler, P.a.
• Dermatology of East Texas PA
• Kadeja Derrick
• Yagnesh Kanti Desai, MD

• State or Local Public Health Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• State or Local Public Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.