Organization
ROBERT CASEY STROUD, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CASEY STROUD (OWNER/PRESIDENT)
(817) 441-2425
Entity
Organization
Contact information
Practice address
134 EL CHICO TRL, SUITE 101, WILLOW PARK, TX 76087-8861
(817) 441-2425
Mailing address
134 EL CHICO TRL, SUITE 101, WILLOW PARK, TX 76087-8861
(817) 441-2425
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155478403
—
TX
05
—
195495002
—
TX
05
—
340688601
—
TX
Enumeration date
05/14/2015
Last updated
05/14/2015
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