Healthcare Provider Details

I. General information

NPI: 1215887385
Provider Name (Legal Business Name): CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 JOHNSON DR
MCGREGOR TX
76657-1426
US

IV. Provider business mailing address

414 JOHNSON DR
MCGREGOR TX
76657-1426
US

V. Phone/Fax

Practice location:
  • Phone: 254-248-6301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID BYROM
Title or Position: CEO
Credential:
Phone: 254-248-6301