Active NPI
Tyler TX ASC LLC
- Ambulatory Surgical Clinic/Center
- Tyler, TX
National Provider Identifier
1689353823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TYLER TX ASC LLC
- Practice address
- 4801 Troup Hwy Ste 800
Tyler, TX 75703-2357 - Phone
- (903) 202-0595
- NPI assigned
- Jul 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Hardy
- Title
- VP, HR & Compliance
- Phone
- (903) 363-1558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4801 Troup Hwy Ste 800
Tyler, TX 75703-2357
Mailing address
4801 Troup Hwy Ste 800
Tyler, TX 75703-2357
Phone (902) 202-0595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231024000069 | TX | Part B Supplier - Ambulatory Surgical Center | 5193171429 | Practice locations: Tyler, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Tyler TX ASC LLC Dba Tyler Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2289512 | Tyler TX ASC, LLC | Certificate of waiver | Sep 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
4801 Troup Hwy
Ste 800
Tyler, TX 75703
Phone (903) 363-1558
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Longview, TX
- NPI 1336559418
-
- Family Medicine Physician
- Tyler, TX
- NPI 1932493624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1689353823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 TROUP HWY STE 800",
"city": "TYLER",
"state": "TX",
"postal_code": "757032357",
"telephone_number": "902-202-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 TROUP HWY STE 800",
"city": "TYLER",
"state": "TX",
"postal_code": "757032357",
"telephone_number": "903-202-0595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLER TX ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-14",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "VP, HR & COMPLIANCE",
"authorized_official_telephone_number": "903-363-1558"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Tyler Regional Hospital LLC
- Tyler Rehab Associates, L.P. (Christus Trinity Mother Frances Rehab Hosp, a part of Encompass Health)
- Tyler Speech Improvement Services
- Tyler Texas Emergency Center, LLC
- Tyler Texas Radiation Oncology PA
- Tyler Urgent Care LLP
- Tyler Wellness Clinic
- James Tyler, PHARMD
- Tyler's Connected in Autism, LLC
- Tylermed Walk in Clinic PLLC (TylerMed Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.