Individual
JOHN MICHAEL STRAYHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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