Healthcare Provider Details

I. General information

NPI: 1639700461
Provider Name (Legal Business Name): TYLER COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8595 MEDICAL CENTER BLVD
PORT ARTHUR TX
77640-2428
US

IV. Provider business mailing address

1100 W BLUFF ST
WOODVILLE TX
75979-4738
US

V. Phone/Fax

Practice location:
  • Phone: 409-727-1525
  • 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: SONDRA WILLIAMS
Title or Position: CEO
Credential:
Phone: 409-283-6400