Individual
MR. TROY JAMES PREVOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2351 ENERGY DR, SUITE 2000, BATON ROUGE, LA 70808-2618
(225) 274-6760
(225) 216-4299
Mailing address
242 SHADY LAKE PL W, BATON ROUGE, LA 70810-4332
(225) 274-6760
(225) 216-4299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.A10161.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1349976
—
LA
Enumeration date
07/11/2006
Last updated
06/17/2012
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