Healthcare Provider Details

I. General information

NPI: 1235726209
Provider Name (Legal Business Name): LLANO REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2020
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W OLLIE ST
LLANO TX
78643-2628
US

IV. Provider business mailing address

200 W OLLIE ST
LLANO TX
78643-2628
US

V. Phone/Fax

Practice location:
  • Phone: 325-216-9072
  • Fax:
Mailing address:
  • Phone: 325-216-9199
  • Fax: 325-773-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA WALKER
Title or Position: CEO
Credential:
Phone: 325-216-9199