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Individual
MR. NICKOLAS ANTONY STROH
Active
Individual
MR. NICKOLAS ANTONY STROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02788
TX
363AM0700X
Medical Physician Assistant
PA02788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
835N12
BC/BS TEXAS - EFFECT. 02/01/211
TX
01
—
P00935335
RAILROAD MEDICARE
TX
Enumeration date
10/12/2006
Last updated
06/15/2023
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