Healthcare Provider Details

I. General information

NPI: 1811423320
Provider Name (Legal Business Name): CODY MICHAEL STRAHLER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1583 COMMON ST STE 205
NEW BRAUNFELS TX
78130
US

IV. Provider business mailing address

5303 HAMILTON WOLFE RD APT 515
SAN ANTONIO TX
78229-4362
US

V. Phone/Fax

Practice location:
  • Phone: 830-625-2111
  • Fax:
Mailing address:
  • Phone: 614-254-6970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number33795
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: