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

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN

Practice address

11937 US Highway 271
Tyler, TX 75708-3154

Phone

(903) 877-3451

NPI assigned

Oct 7, 2005

Last updated

Mar 3, 2026By 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

Daniel Deslatte

Title

Chief Business Officer

Phone

(903) 877-7200

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• University of Texas Health Science Center at Tyler-Facilty-Physician

  dba UT Health East Texas Physicians Overton

  • Rural Health Clinic/Center
  • Overton, TX
  • NPI 1689496812

  4981699220

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• University of Texas Health Science Center at Tyler

  • Certified Registered Nurse Anesthetist
  • Tyler, TX
  • NPI 1992868186

  O20040416001048

  Same enrollment

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• University of Texas Health Science Center at Tyler-Facilty-Physician

  dba UT Health East Texas Physicians Overton

  • Rural Health Clinic/Center
  • Overton, TX
  • NPI 1689496812

  Operational/Managerial Control

  CMS ownership

Practitioners 370

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann H Abrameit, M.D.

  • Obstetrics & Gynecology Physician
  • Tyler, TX
  • NPI 1407229693
  Medicare reassignment Care Compare group NPD
• Emad Al Rawashdeh, MD

  • Neurology Physician
  • Tyler, TX
  • NPI 1902435837
  Medicare reassignment Care Compare group NPD
• David A. Andreone, DPM

  • Podiatrist
  • Tyler, TX
  • NPI 1083786982
  Medicare reassignment Care Compare group NPD
• Mingxue Arguello

  • Endocrinology, Diabetes & Metabolism Physician
  • Tyler, TX
  • NPI 1164882429
  Medicare reassignment Care Compare group NPD
• David Michael August, D.O.

  • Psychiatry Physician
  • Tyler, TX
  • NPI 1477700185
  Medicare reassignment Care Compare group NPD
• Stephanie Erin Bennett, APRN, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1437786035
  Medicare reassignment Care Compare group NPD
• Jarett D. Berry, MD

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1134345275
  Medicare reassignment Care Compare group NPD
• Jamon Blood, DO

  • Child & Adolescent Psychiatry Physician
  • Tyler, TX
  • NPI 1316333552
  Medicare reassignment Care Compare group NPD
• Pamela G. Bokat, MD, MSW

  • Psychiatry Physician
  • Tyler, TX
  • NPI 1942377080
  Medicare reassignment Care Compare group NPD
• Robert Leon Boyne, M.D.

  • Neurology Physician
  • Tyler, TX
  • NPI 1134128176
  Medicare reassignment Care Compare group NPD
• Jessica Bracks, MD

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1275982589
  Medicare reassignment Care Compare group NPD
• Elizabeth Bui, M.D.

  • Rheumatology Physician
  • Tyler, TX
  • NPI 1093194268
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1063400778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731912",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731912",
            "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": "903-877-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "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": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127278302",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TDrive",
            "affiliation": "N",
            "endpointDescription": "server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Finance",
            "address_1": "11937 US Highway 271",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757083154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• University of Texas Health Science Center at Tyler
• University of Texas Health Science Center at Tyler
• University of Texas Health Science Center at Tyler (Uthsct Hope Tyler)
• University of Texas Health Science Center at Tyler (Uthsct Hope Pharmacy Specialty)
• University of Texas Health Science Center at Tyler
• Ilanko Upendran, MD
• Sara Upson, M.ED, RD, LD
• Urology Tyler, PA
• Olivia Urwiller, MOT, OTR
• Marc Edward Usrey, M.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.