Individual
DR. AMANDA A TROTT-GREGORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 E SONTERRA BLVD STE 209, SAN ANTONIO, TX 78258-4076
(210) 888-1297
(210) 888-1285
Mailing address
255 E SONTERRA BLVD STE 209, SAN ANTONIO, TX 78258-4076
(210) 888-1297
(210) 888-1285
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
N7594
TX
208000000X
Pediatrics Physician
BP1-0029100
TX
2080P0201X
Pediatric Allergy/Immunology Physician
N7594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124399092
NPI TYPE 2 GROUP
TX
01
—
4665454675
MYUTMB 4665454675
—
Enumeration date
08/05/2007
Last updated
11/10/2022
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