P Praxis·MD
● Active Type 2 · Organization

University Of Texas Health Science Center At Tyler-Facilty-Physician

Clinic/Center·Overton, TX· NPI 1689496812 · Enumerated 2024 · 1 years on NPI
University Of Texas Health Science Center At Tyler-Facilty-Physician is 1 of 689 clinic/center organizations in Texas.
NPI age
1 years
Enumerated 2024-10-29
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Deslatte
Chief Business Officer
Last NPPES update
2024-12-17
Source: monthly bulk 2026-05

How this organization compares

Across 689 active clinic/center providers in Texas.

NPI age
1 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-10Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
102 W Henderson St
Overton, TX 756841613
📞 9038340201fax 9038340264
Mailing address
11937 Us Highway 271
Tyler, TX 757083154
📞 9038777200

Authorized official

Daniel Deslatte
Chief Business Officer
📞 9038777200

Individual providers at this organization

2 individual providers on file at this primary practice address.

  • Dung Cao, PA Physician Assistant NPI 1992096580
  • Kari Kennel, MSN,APRN,FNP-C,PMHNP Nurse Practitioner NPI 1750753406

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QR1300X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • UT Health East Texas Physicians Overton
    Type code 3 recorded 2024-12-17

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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