Organization
TYLER TX ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HARDY (VP, HUMAN RESOURCES)
(903) 363-1558
Entity
Organization
Contact information
Practice address
4801 TROUP HWY STE 800, TYLER, TX 75703-2357
(903) 363-1558
Mailing address
4801 TROUP HWY STE 800, TYLER, TX 75703-2357
(903) 363-1558
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/17/2023
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