1871690792 NPI number — DR. KRISTINA STROEHLEIN M.D.

Table of content: DR. KRISTINA STROEHLEIN M.D. (NPI 1871690792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871690792 NPI number — DR. KRISTINA STROEHLEIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STROEHLEIN
Provider First Name:
KRISTINA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871690792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9597 JONES RD
Provider Second Line Business Mailing Address:
#807
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77065-4815
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-897-0750
Provider Business Mailing Address Fax Number:
281-897-0170

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10655 STEEPLETOP DR
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77065-4222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-897-3165
Provider Business Practice Location Address Fax Number:
281-897-0170
Provider Enumeration Date:
09/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZC0500X , with the licence number:  F0026 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207ZP0102X , with the licence number: F0026 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8M2301 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".