Provider Demographics
NPI:1457546889
Name:STRONG HEALTHCARE, INC
Entity type:Organization
Organization Name:STRONG HEALTHCARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP
Authorized Official - Phone:972-664-1616
Mailing Address - Street 1:420 N COIT RD
Mailing Address - Street 2:STE 2016
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5447
Mailing Address - Country:US
Mailing Address - Phone:972-664-1616
Mailing Address - Fax:972-664-1615
Practice Address - Street 1:420 N COIT RD
Practice Address - Street 2:STE 2016
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5447
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:2007-09-10
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX625371363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138973617Medicaid
TX388273002Medicaid
TX138973618Medicaid
TX388273003Medicaid
TX388273001Medicaid