Tyler ER Operations, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

TYLER ER OPERATIONS, LLC

Practice address

3943 Old Jacksonville Hwy
Tyler, TX 75701-8519

Phone

(281) 236-0563

Fax

(281) 836-6106

NPI assigned

Apr 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Daniel Bohannon

Title

Owner/Operations Manager

Phone

(281) 236-0563

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1760836068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018519",
            "telephone_number": "281-236-0563",
            "fax_number": "281-836-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018519",
            "telephone_number": "281-236-0563",
            "fax_number": "281-836-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER ER OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/OPERATIONS MANAGER",
        "authorized_official_telephone_number": "281-236-0563"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tyler Family Circle of Care
• Tyler Family Circle of Care

• Emergency Care Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.