Organization
DR. RUDOLPH W. TROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH WAYNE TROUP JR. O.D. (OPTOMETRIST)
(318) 686-5227
Entity
Organization
Contact information
Practice address
8889 JEWELLA AVE, SUITE E, SHREVEPORT, LA 71118-2138
(318) 686-5227
(318) 686-5283
Mailing address
8889 JEWELLA AVE, SUITE E, SHREVEPORT, LA 71118-2138
(318) 686-5227
(318) 686-5283
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
725178T
LA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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