Individual
JOHN MICHAEL STRAYHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H2815
TX
207RC0000X
Cardiovascular Disease Physician
Primary
H2815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013EJ
BCBS OF TEXAS
TX
05
—
100155780A
—
OK
05
—
114818103
—
TX
01
—
122214001
MEDICAID (IND)
AR
01
—
146341002
MEDICAID (GROUP)
—
01
—
96416
BLUE CROSS (AR)
AR
Enumeration date
07/22/2005
Last updated
11/29/2012
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