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Organization

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

NPI Record: ActiveNeuromusculoskeletal Medicine, Sports Medicine
NPI1063400778
Tyler, Texas

Provider's NPPES record last updated: March 3, 2026

Overview

Entity Type
Organization
NPI
1063400778
Primary Specialty
Neuromusculoskeletal Medicine, Sports Medicine
Practice Location
Tyler, Texas
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:14 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Neuromusculoskeletal Medicine, Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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 (sports) whether as an individual or in team participation.

    Taxonomy code 204C00000X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Practice Locations

Practice Location

11937 US Highway 271

Tyler, Texas 75708-3154

Phone: (903) 877-3451

Record Information

Enumeration Date
October 7, 2005
Provider's NPPES Record Last Updated
March 3, 2026
Certification Date
March 3, 2026
NPISignal NPPES Dataset
August 2026

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