Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 13905 | TX |
NPI | 1780168716 |
---|---|
Provider Name | Dr. Corey Nicholas Strunk |
First Address | Flower Mound, TX 75028-1197 |
Second Address | Frisco, TX 75034-0811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2018 |
Last Update Date | 15/09/2018 |