MEDICARE: THERESA MARGARET STRYK CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	1057087	TX

General Provider Information

NPI Number	:	1194484717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA MARGARET STRYK CNM

Provider Business Mailing Address
First Line	:	7453 LAS COLINAS BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	972-215-6934
Fax Number	:	972-607-9254

Provider Business Practice Location Address
First Line	:	7453 LAS COLINAS BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	972-215-6934
Fax Number	:	972-607-9254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2021
Last Update Date	:	03/21/2025

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