Organization
STONEWALL FELLOWSHIP CHURCH
Active
Organization
STONEWALL FELLOWSHIP CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESMOND TOLBERT (OWNER)
(936) 219-4611
Entity
Organization
Contact information
Practice address
1303 SOUTH UNIVERSITY DR, NACOGDOCHES, TX 75961
(936) 219-4611
Mailing address
1303 SOUTH UNIVERSITY DR, NACOGDOCHES, TX 75961
(936) 219-4611
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up