MEDICARE: CAROL A. STRICKLAND M.D.

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	207R00000X	Internal Medicine Physician	J0293	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407837156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL A. STRICKLAND M.D.

Provider Business Mailing Address
First Line	:	4500 HOLT ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-5807
Country	:	US
Telephone Number	:	713-571-7009
Fax Number	:	713-571-7062

Provider Business Practice Location Address
First Line	:	1315 ST JOSEPH PKWY STE 1606
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8232
Country	:	US
Telephone Number	:	713-571-7009
Fax Number	:	713-571-7062

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	01/29/2013

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