Provider Demographics
NPI:1265896914
Name:STRAUTHER, ANDRIA DENISE
Entity type:Individual
Prefix:
First Name:ANDRIA
Middle Name:DENISE
Last Name:STRAUTHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 POPPY FIELD CT
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-1554
Mailing Address - Country:US
Mailing Address - Phone:281-948-5782
Mailing Address - Fax:281-948-5782
Practice Address - Street 1:515 POPPY FIELD CT
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-1554
Practice Address - Country:US
Practice Address - Phone:281-948-5782
Practice Address - Fax:281-948-5782
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICERTIFICATE246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy