Organization
JOHN M STRAYHORN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M STRAYHORN MD, PA (DOCTOR)
(903) 794-3390
Entity
Organization
Contact information
Practice address
1002 TEXAS BLVD STE 400, TEXARKANA, TX 75501-5113
(903) 794-3390
Mailing address
1002 TEXAS BLVD STE 400, TEXARKANA, TX 75501-5113
(903) 794-3390
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H2815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114818103
—
TX
Enumeration date
09/14/2010
Last updated
09/14/2010
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