Healthcare Provider Details

I. General information

NPI: 1962712018
Provider Name (Legal Business Name): TOUCHSTONE IMAGING OF MESQUITE, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2010
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 PRECINCT LINE RD SUITE 103
HURST TX
76054-3169
US

IV. Provider business mailing address

PO BOX 116662
ATLANTA GA
30368-6662
US

V. Phone/Fax

Practice location:
  • Phone: 817-498-6575
  • Fax: 817-498-8854
Mailing address:
  • Phone: 720-974-0334
  • Fax: 720-385-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTIAN C. RICE JR.
Title or Position: CHIEF MANAGER
Credential:
Phone: 615-661-9200