Individual
DAVID GLENN TROUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11801 SOUTH FREEWAY, FORT WORTH, TX 76115-0337
(817) 293-9110
Mailing address
PO BOX 6426, FORT WORTH, TX 76115-0426
(817) 293-1000
(817) 293-6117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J4572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363368-01
—
TX
Enumeration date
04/11/2007
Last updated
07/07/2017
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