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Individual

LINDA STRAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1212 MEDICAL PLAZA CT, GRANBURY, TX 76048-5653
(817) 279-1776
(817) 573-2239
Mailing address
1308 PALUXY RD, SUITE C, GRANBURY, TX 76048-5689
(817) 579-3918
(817) 579-3926

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
511871
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511871
STATE LICENSE
TX
Enumeration date
07/13/2005
Last updated
02/12/2013
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