MEDICARE: ROBERT H STROUD MD PA

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	207Y00000X	Otolaryngology Physician
2	207Y00000X	Otolaryngology Physician	K2806	TX
3	231H00000X	Audiologist

General Provider Information

NPI Number	:	1821030412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT H STROUD MD PA

Provider Business Mailing Address
First Line	:	6826 PLUM CREEK DRIVE
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79124-1601
Country	:	US
Telephone Number	:	806-355-9999
Fax Number	:	806-355-9989

Provider Business Practice Location Address
First Line	:	6826 PLUM CREEK DRIVE
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79124-1601
Country	:	US
Telephone Number	:	806-355-9999
Fax Number	:	806-355-9989

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT H STROUD
Credential	:
Telephone Number	:	806-355-9999

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	02/14/2008

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