Individual
GREGORY STRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
954 PRIVATE ROAD 5860, YANTIS, TX 75497-4746
(636) 515-4810
Mailing address
954 PRIVATE ROAD 5860, YANTIS, TX 75497-4746
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343634
TX
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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