Healthcare Provider Details

I. General information

NPI: 1801228986
Provider Name (Legal Business Name): TOUCHSTONE STRATEGIES - TYLER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 07/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 ELKTON TRL
TYLER TX
75703-0580
US

IV. Provider business mailing address

1020 NE LOOP 410 SUITE 640
SAN ANTONIO TX
78209-1204
US

V. Phone/Fax

Practice location:
  • Phone: 903-266-7200
  • Fax: 903-266-7299
Mailing address:
  • Phone: 210-828-5686
  • Fax: 210-798-0725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. CARL FELLBAUM
Title or Position: CEO
Credential:
Phone: 210-828-5686