1801228986 NPI number — TOUCHSTONE STRATEGIES - TYLER LLC

Table of content: DR. SARAH ELIZABETH BAILEY MD (NPI 1316174303)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801228986 NPI number — TOUCHSTONE STRATEGIES - TYLER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOUCHSTONE STRATEGIES - TYLER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801228986
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1020 NE LOOP 410
Provider Second Line Business Mailing Address:
SUITE 640
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78209-1204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-828-5686
Provider Business Mailing Address Fax Number:
210-798-0725

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2650 ELKTON TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TYLER
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75703-0580
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-266-7200
Provider Business Practice Location Address Fax Number:
903-266-7299
Provider Enumeration Date:
07/31/2013

Additional Information

Authorized Official

Authorized Official Last Name:
FELLBAUM
Authorized Official First Name:
CARL
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
210-828-5686

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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