Provider Demographics
NPI:1346560208
Name:STRONG HEALTHCARE, INC
Entity Type:Organization
Organization Name:STRONG HEALTHCARE, INC
Other - Org Name:CHILDREN'S CLINIC OF RICHARDSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CPNP
Authorized Official - Phone:972-664-1616
Mailing Address - Street 1:580 W ARAPAHO RD STE 208
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4371
Mailing Address - Country:US
Mailing Address - Phone:972-664-1616
Mailing Address - Fax:972-664-1615
Practice Address - Street 1:580 W ARAPAHO RD STE 208
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4371
Practice Address - Country:US
Practice Address - Phone:972-664-1616
Practice Address - Fax:972-664-1615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138973618Medicaid
TX138973617Medicaid
TXS83909Medicare UPIN