Active NPI
Glen Earl Stroech, L.A.T.
- Specialist
- Richmond, TX
National Provider Identifier
1396952156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AT0405
- Practice address
- 7430 Lake Run LN
Richmond, TX 77469-7867 - Phone
- (281) 633-2443
- Fax
- (281) 634-2238
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AT0405 | TX | Primary |
Addresses
Primary practice location
7430 Lake Run LN
Richmond, TX 77469-7867
Mailing address
7430 Lake Run LN
Richmond, TX 77469-7867
Phone (281) 633-2443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT0405 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396952156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430 LAKE RUN LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774697867",
"telephone_number": "281-633-2443",
"fax_number": "281-634-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 LAKE RUN LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774697867",
"telephone_number": "281-633-2443",
"fax_number": "281-634-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROECH",
"first_name": "GLEN",
"middle_name": "EARL",
"credential": "L.A.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "AT0405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.