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Individual

ELIJAH SHAUN TROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
23107 ISTHMUS COVE CT, KATY, TX 77494-6501
(806) 831-1895
Mailing address
23107 ISTHMUS COVE CT, KATY, TX 77494-6501
(806) 831-1895

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101019560
MI
2085R0202X
Diagnostic Radiology Physician
DO-04867
IA
2085R0202X
Diagnostic Radiology Physician
Primary
Q7491
TX

Other

Enumeration date
06/27/2011
Last updated
07/28/2023
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