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Individual
KEITH H STROUD
Active
Individual
KEITH H STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1056505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84630T
BCBS PROVIDER
TX
Enumeration date
08/04/2006
Last updated
07/08/2007
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