| Robert Casey Stroud, D.d.s., P.c. | |
|
134 El Chico Trl Suite 101 Willow Park TX 76087-8861 | |
| (817) 441-2425 | |
| Not Available |
| Full Name | Robert Casey Stroud, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 134 El Chico Trl, Willow Park, Texas |
| Authorized Official Name and Position | Robert Casey Stroud (OWNER/PRESIDENT) |
| Authorized Official Contact | 8174412425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Casey Stroud, D.d.s., P.c. 134 El Chico Trl Suite 101 Willow Park TX 76087-8861 Ph: (817) 441-2425 | Robert Casey Stroud, D.d.s., P.c. 134 El Chico Trl Suite 101 Willow Park TX 76087-8861 Ph: (817) 441-2425 |
| NPI Number | 1760860407 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760860407 | NPI | - | NPPES |
| 155478403 | Medicaid | TX | |
| 195495002 | Medicaid | TX | |
| 340688601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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