Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Regional Hospital LLC

Organization Trauma Surgery Physician · NPI 1063915916

Tyler Regional Hospital LLC provides Trauma Surgery Physician services in Tyler, Texas. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 597-0351
Fax: (903) 535-6334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X

Record details

NPI number1063915916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Petrovich — Evp · (615) 296-3000
Other names Ut Health East Texas Tyler Regional Hospital
NPI enumeratedMarch 16, 2018
Last updated in NPPESMarch 16, 2018
Mailing address1 Burton Hills Blvd Ste 250, Nashville, TN 37215-6195

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