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Organization
TYLER REGIONAL HOSPITAL LLC
Active
Organization
TYLER REGIONAL HOSPITAL LLC
Active
Other names
UT Health East Texas Tyler Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
(903) 535-6334
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
NULL
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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