Healthcare Provider Details
I. General information
NPI: 1124733001
Provider Name (Legal Business Name): TYLER COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2023
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 S JOHN REDDITT DR
LUFKIN TX
75904-3142
US
IV. Provider business mailing address
2537 GOLDEN BEAR DR
CARROLLTON TX
75006-2377
US
V. Phone/Fax
- Phone: 936-632-3346
- Fax:
- Phone: 972-729-6970
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBIN
FRANCES
UNDERHILL
Title or Position: CEO
Credential:
Phone: 214-954-4114