Individual
GARY B STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 S HENDERSON ST, FORT WORTH, TX 76104-4430
(682) 885-3255
(817) 338-9563
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G2279
TX
208M00000X
Hospitalist Physician
G2279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135098509
—
TX
01
—
82V083
BCBS-TX
TX
Enumeration date
10/06/2006
Last updated
10/09/2015
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