Individual
SEAN K TROXCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1635 MARVEL ST, COUSHATTA, LA 71019-9022
(318) 932-2085
(318) 932-2215
Mailing address
705 CATALPA CIR, SHREVEPORT, LA 71115-3702
(318) 617-9610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200734
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD200734
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N3359
TX
390200000X
Student in an Organized Health Care Education/Training Program
200734
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07185
—
LA
05
—
1071854
—
LA
01
—
8KP700
BCBS
TX
Enumeration date
05/24/2007
Last updated
03/17/2021
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