Individual
MRS. SOPHIA STROTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 DUNBAR ST, WACO, TX 76704-1550
(254) 595-5556
(844) 213-1440
Mailing address
1001 DUNBAR ST, WACO, TX 76704-1550
(254) 595-5556
(844) 213-1440
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
862361735
TAX ID
TX
Enumeration date
03/25/2021
Last updated
03/25/2021
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