MEDICARE: MELISSA STROUD, MD, PLLC

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	208M00000X	Hospitalist Physician	M5943	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0037PX	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619177425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELISSA STROUD, MD, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1563
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234
Country	:	US
Telephone Number	:	940-626-2718
Fax Number	:	940-626-1782

Provider Business Practice Location Address
First Line	:	609 MEDICAL CENTER DR
Second Line	:	SUITE 2218
City	:	DECATUR
State	:	TX
Zip	:	76234-3836
Country	:	US
Telephone Number	:	940-626-2718
Fax Number	:	940-626-1782

Authorized Official
Title or Position	:	ORGANIZER
Name	:	MELISSA STROUD
Credential	:	MD
Telephone Number	:	940-626-2718

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	11/17/2008

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