Healthcare Provider Details

I. General information

NPI: 1447259627
Provider Name (Legal Business Name): TYLER COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W BLUFF ST
WOODVILLE TX
75979
US

IV. Provider business mailing address

PO BOX 549
WOODVILLE TX
75979-0549
US

V. Phone/Fax

Practice location:
  • Phone: 409-283-6444
  • Fax: 409-283-6430
Mailing address:
  • Phone: 409-283-6429
  • Fax: 409-283-5961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number000569
License Number StateTX

VIII. Authorized Official

Name: MR. TONY CHAVIRA
Title or Position: CEO
Credential:
Phone: 409-283-6429