OrganizationTyler Er Operations, LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address3943 Old Jacksonville Hwy, Tyler, TX 75701(903) 753-1212PECOS EnrollmentBased on the most recent information from CMS, provider Tyler Er Operations, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1619321742Provider TypeOrganizationFull NameTyler Er Operations, LlcSubpartNoEnumeration Date4/14/2016Last Updated1/16/2017Contact InformationPractice LocationPractice Address3943 Old Jacksonville Hwy, Tyler, TX 75701Phone(903) 753-1212Fax(281) 836-6106Mailing LocationMailing Address5103 Koberlin St, Tyler, TX 75703-5608Phone(903) 753-1212Fax(281) 836-6106Authorized OfficialNameBohannon, Jonathan Daniel (Owner/Operations Manager)Phone(281) 236-0563Provider TaxonomiesCodeDescriptionLicenseCode261QE0002XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense160253Texas