Individual
DR. MICHAEL BRYANT STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 SOUTHTOWN DR, SUITE 107, GRANBURY, TX 76048-2682
(817) 573-4483
(817) 573-9811
Mailing address
1540 SOUTHTOWN DR, SUITE 107, GRANBURY, TX 76048-2682
(817) 573-4483
(817) 573-9811
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D2603 MD
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070002376
TRAVELERS MEDICARE
TX
05
—
0975518-02
—
TX
Enumeration date
11/03/2005
Last updated
07/08/2007
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