Gerad A Troutman in Lubbock - Pediatric Emergency Medicine
Gerad A Troutman - NPI 1780879643
Gerad A Troutman is a Pediatric Emergency Medicine in Lubbock, Texas. Gerad A Troutman practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Gerad A Troutman is 1780879643. The last update date is 2020-12-07.
Gerad A Troutman's current location address is 4013 111th St, Lubbock, Texas. You can contact this provider via phone number 9406420100. The mailing address for Gerad A Troutman is 4013 111th St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerad A Troutman |
|---|---|
| Address | 4013 111th St, Lubbock, Texas |
| Phone Number | 9406420100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780879643 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2020-12-07 |
Provider Mailing Address Detail
| Address | 4013 111th St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794230897 |
| Phone Number | 9406420100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | N8863 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14148491 | CAQH | ||
| 2141082 | LA | -- |
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What is the unique identification code assigned to Gerad A Troutman by the Centers for Medicare & Medicaid Services?
The Gerad A Troutman has been issued the NPI (National Provider Identifier) 1780879643. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gerad A Troutman's facilities are geographically located?
The facilities of Gerad A Troutman are physically situated at the following location: 4013 111Th St, Lubbock, TX, 794230897.
What is Gerad A Troutman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gerad A Troutman's area of specialization is Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080P0204X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780879643 to Gerad A Troutman?
The Centers for Medicare & Medicaid Services originally issued the 1780879643 to Gerad A Troutman on 2007-09-12.
As of what date were the Gerad A Troutman's details last updated?
The information pertaining to the Gerad A Troutman, including its address, specialty, and other details, was most recently updated on 2020-12-07.
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