Organization · Type 2 NPI

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

Sports Medicine (Neuromusculoskeletal Medicine) Physician · Tyler, TX

NPI number 1063400778 Active

Practice location

11937 US Highway 271
Tyler, TX 75708-3154

Call (903) 877-3451 Map

Mailing address

PO Box 731912
Dallas, TX 75373-1912

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary 204C00000XNone listed
General Practice Physician 208D00000XNone listed

Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…

452 other providers at this address

About NPI 1063400778

University of Texas Health Science Center at Tyler-Facility-Physician's National Provider Identifier is 1063400778, issued on Oct 7, 2005. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in Tyler, TX. The record was last updated on Mar 3, 2026.