Basic Information
Provider Information
NPI: 1871598441
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRICKLAND
FirstName: JANET
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1320 WONDER WORLD DR
Address2: 101
City: SAN MARCOS
State: TX
PostalCode: 786667557
CountryCode: US
TelephoneNumber: 5123963911
FaxNumber: 5123530807
Practice Location
Address1: 2005 MEDICAL PKWY
Address2: C
City: SAN MARCOS
State: TX
PostalCode: 786667576
CountryCode: US
TelephoneNumber: 5123963911
FaxNumber: 5123530807
Other Information
ProviderEnumerationDate: 06/20/2005
LastUpdateDate: 09/01/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XE-4705TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home