Healthcare Provider Details

I. General information

NPI: 1699873166
Provider Name (Legal Business Name): THOMAS JAMES STRAUSBAUGH RRT / RCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 LONDON CT APT 2
FAYETTEVILLE NC
28311-0248
US

IV. Provider business mailing address

104 LONDON CT APT 2
FAYETTEVILLE NC
28311-0248
US

V. Phone/Fax

Practice location:
  • Phone: 910-995-4291
  • Fax:
Mailing address:
  • Phone: 910-995-4291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberA-3362
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: