Individual
MICHELLE LYNNNE STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-5864
(903) 606-1930
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
M-12449
ID
2086S0102X
Surgical Critical Care Physician
MD60080540
WA
2086S0102X
Surgical Critical Care Physician
Primary
Q6576
TX
2086S0127X
Trauma Surgery Physician
MD60080540
WA
2086S0127X
Trauma Surgery Physician
Q6576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K9117
MEDICARE
TX
05
—
361833203
—
TX
Enumeration date
03/09/2007
Last updated
03/24/2021
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