Provider Demographics
NPI:1841222122
Name:STRAYHORN, PATRICIA CAROL (ARNP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:CAROL
Last Name:STRAYHORN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:CAROL
Other - Last Name:STRAYHORN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1640 DALLAS PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4515
Mailing Address - Country:US
Mailing Address - Phone:972-863-5289
Mailing Address - Fax:972-863-5293
Practice Address - Street 1:1640 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4515
Practice Address - Country:US
Practice Address - Phone:972-863-5289
Practice Address - Fax:972-863-5293
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX763516363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health