Individual
DR. MELISSA MARIE STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
609 MEDICAL CENTER DR STE 2218, DECATUR, TX 76234-3836
(940) 626-2718
(940) 626-1782
Mailing address
PO BOX 2078, DECATUR, TX 76234-6156
(940) 626-2718
(940) 626-1782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M5943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186737602
—
TX
01
—
8AH780
BCBS
TX
01
—
8CZ775
WCCA BCBSTX
TX
Enumeration date
05/14/2007
Last updated
04/26/2019
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