MEDICARE: MS. PATRICIA CAROL STRAYHORN ARNP

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	363LA2200X	Adult Health Nurse Practitioner	763516	TX

General Provider Information

NPI Number	:	1841222122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA CAROL STRAYHORN ARNP

Provider Business Mailing Address
First Line	:	1640 DALLAS PKWY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4515
Country	:	US
Telephone Number	:	972-863-5289
Fax Number	:	972-863-5293

Provider Business Practice Location Address
First Line	:	1640 DALLAS PKWY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4515
Country	:	US
Telephone Number	:	972-863-5289
Fax Number	:	972-863-5293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/28/2009

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