Individual
GERAD A TROUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415
(806) 775-9700
Mailing address
4013 111TH ST, LUBBOCK, TX 79423-0897
(940) 642-0100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N8863
TX
207P00000X
Emergency Medicine Physician
T-2035
MS
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
N8863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14148491
CAQH
—
05
—
2141082
—
LA
Enumeration date
09/12/2007
Last updated
12/07/2020
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