| Leonor B Frierson Stroud Mdpa | |
|
3921 Steck Ave A-114 Austin TX 78759-8709 | |
| (512) 338-0171 | |
| (512) 338-0771 |
| Full Name | Leonor B Frierson Stroud Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3921 Steck Ave, Austin, Texas |
| Authorized Official Name and Position | Leonor Frierson Stroud (PRESIDENT) |
| Authorized Official Contact | 5123380171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonor B Frierson Stroud Mdpa 3921 Steck Ave A-114 Austin TX 78759-8709 Ph: (512) 338-0171 | Leonor B Frierson Stroud Mdpa 3921 Steck Ave A-114 Austin TX 78759-8709 Ph: (512) 338-0171 |
| NPI Number | 1326352337 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 09/10/2010 |
| Medicare PECOS PAC ID | 8224162961 |
|---|---|
| Medicare Enrollment ID | O20100817000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326352337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H2384 (Texas) | Primary |
| Provider Name | Leonor B Frierson-stroud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669582888 PECOS PAC ID: 3577697309 Enrollment ID: I20100816001090 |
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