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NPI Code Detail

MEDICARE: DR. DAVID VANDER STRATEN MD

MEDICARE:  DR. DAVID  VANDER STRATEN  MD
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
1207Q00000XFamily Medicine PhysicianK9688TX

General Provider Information

NPI Number : 1528013281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID VANDER STRATEN MD
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 425 UNIVERSITY BLVD STE 500
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1360
Country : US
Telephone Number : 512-509-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 01/07/2026

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Directions to “ DR. DAVID VANDER STRATEN MD” Practice Location

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