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Organization
TYLER REGIONAL HOSPITAL LLC
Active
Organization
TYLER REGIONAL HOSPITAL LLC
Active
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
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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