Healthcare Provider Details
I. General information
NPI: 1053651356
Provider Name (Legal Business Name): TOUCHSTONE STRATEGIES - TOMBALL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2013
Last Update Date: 01/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27840 JOHNSON ROAD
TOMBALL TX
77375
US
IV. Provider business mailing address
1020 NE LOOP 410 SUITE 640
SAN ANTONIO TX
78209-1204
US
V. Phone/Fax
- Phone: 210-828-5686
- Fax:
- Phone: 210-828-5686
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CARL
FELLBAUM
Title or Position: CEO
Credential:
Phone: 210-828-5686