Healthcare Provider Details

I. General information

NPI: 1477091429
Provider Name (Legal Business Name): TYLER COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S MAIN ST
VIDOR TX
77662-5745
US

IV. Provider business mailing address

1100 W BLUFF ST
WOODVILLE TX
75979-4738
US

V. Phone/Fax

Practice location:
  • Phone: 409-769-3692
  • Fax: 409-769-1390
Mailing address:
  • Phone: 409-283-6400
  • Fax: 409-283-5961

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: DR. SANDRA G. WRIGHT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 409-283-6400