Healthcare Provider Details

I. General information

NPI: 1780611038
Provider Name (Legal Business Name): TOUCHSTONE IMAGING OF TYLER, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1904 E SOUTHEAST LOOP 323
TYLER TX
75701-8337
US

IV. Provider business mailing address

PO BOX 116484
ATLANTA GA
30368-6484
US

V. Phone/Fax

Practice location:
  • Phone: 903-526-6736
  • Fax: 903-526-7911
Mailing address:
  • Phone: 615-661-9200
  • Fax: 615-661-9297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) 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