Individual
DR. JENNIFER LAUREN DONNELLY STRAACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2774
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N5658
TX
Other
Enumeration date
01/23/2008
Last updated
03/08/2022
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