Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | G5660 | TX |
NPI | 1003879776 |
---|---|
Provider Name | Michael Lynn Strickland |
First Address | Lubbock, TX 79416-3322 |
Second Address | Lubbock, TX 79416-3322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 19/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120210305 | (05) | TX |
B26743 | (02) | TX |