Provider Demographics
NPI:1356781686
Name:VIRTUAL INTEGRITY ADVOCATES
Entity type:Organization
Organization Name:VIRTUAL INTEGRITY ADVOCATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHEIF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAYHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-794-1636
Mailing Address - Street 1:1732 GALLERIA OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-4649
Mailing Address - Country:US
Mailing Address - Phone:903-794-1636
Mailing Address - Fax:
Practice Address - Street 1:1732 GALLERIA OAKS DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-4649
Practice Address - Country:US
Practice Address - Phone:903-794-1636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-5611174400000X
TXJ5027174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR168851001Medicaid
TXF73778Medicare UPIN
AR168851001Medicaid