Provider Demographics
NPI:1861482432
Name:STROUD, LYNDA HOPE (CRNA)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:HOPE
Last Name:STROUD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6421 NORTHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-3015
Mailing Address - Country:US
Mailing Address - Phone:214-739-2254
Mailing Address - Fax:214-739-5288
Practice Address - Street 1:6421 NORTHAVEN RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3015
Practice Address - Country:US
Practice Address - Phone:214-739-2254
Practice Address - Fax:214-739-5288
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX451395367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126044004Medicaid
TX126044005Medicaid
TX81009UOtherBCBS
TX126044007Medicaid
TX81009UOtherBCBS
TX85106KMedicare PIN
TX89204KMedicare PIN
TX00A62LMedicare PIN