Provider Demographics
NPI:1194728873
Name:STROBEL, GENNELL DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:GENNELL
Middle Name:DEAN
Last Name:STROBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 E SYCAMORE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-5017
Mailing Address - Country:US
Mailing Address - Phone:903-957-0275
Mailing Address - Fax:903-957-0279
Practice Address - Street 1:230 E SYCAMORE ST STE 200
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5017
Practice Address - Country:US
Practice Address - Phone:903-957-0275
Practice Address - Fax:903-957-0279
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3004174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154215101Medicaid
TXG95979Medicare UPIN
TX8A0472Medicare ID - Type Unspecified