Provider Demographics
NPI:1326310079
Name:TOUCHSTONE IMAGING OF TYLER, LP
Entity Type:Organization
Organization Name:TOUCHSTONE IMAGING OF TYLER, LP
Other - Org Name:TOUCHSTONE TYLER CENTRAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:RICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-661-9200
Mailing Address - Street 1:5214 MARYLAND WAY
Mailing Address - Street 2:STE. 200
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5071
Mailing Address - Country:US
Mailing Address - Phone:615-661-9200
Mailing Address - Fax:615-661-9297
Practice Address - Street 1:2301 S BROADWAY AVE
Practice Address - Street 2:STE. B8
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-5402
Practice Address - Country:US
Practice Address - Phone:903-526-4674
Practice Address - Fax:903-526-1674
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOUCHSTONE MEDICAL IMAGING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology