# TYLER REGIONAL HOSPITAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** UT Health East Texas Tyler Regional Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063915916
- **Authorized official:** STEPHEN C. PETROVICH (EVP)
- **Authorized official phone:** (615) 296-3000

## Contact information

- **Practice address:** 1000 S BECKHAM AVE, TYLER, TX 75701-1908
- **Practice address phone:** (903) 597-0351
- **Practice address fax:** (903) 535-6334
- **Mailing address:** 1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
- **Mailing address phone:** (615) 296-3000
- **Mailing address fax:** (615) 296-6227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2018
- **Last updated:** 03/16/2018