Individual
AMANDA C TROUT
Active
Individual
AMANDA C TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Q7802
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
Q7802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363846202
—
TX
Enumeration date
03/28/2011
Last updated
10/02/2023
Update your record
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