Provider Demographics
NPI:1114967064
Name:STRAIT, JANET F (NP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:F
Last Name:STRAIT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 EAST CARTWRIGHT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149
Mailing Address - Country:US
Mailing Address - Phone:214-320-7600
Mailing Address - Fax:972-329-1400
Practice Address - Street 1:820 EAST CARTWRIGHT
Practice Address - Street 2:SUITE 100
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149
Practice Address - Country:US
Practice Address - Phone:214-320-7600
Practice Address - Fax:214-320-7690
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228938363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181091301Medicaid
TX8G6393Medicare ID - Type Unspecified
TXP49749Medicare UPIN