Troutman, Gerad A

Troutman, Gerad A is an individual health care provider with primary practice located at 602 Indiana Ave , Lubbock TX 79415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Troutman, Gerad A can be contacted via phone (806) 775-9700.

Contact Information

Primary practice address
602 Indiana Ave Lubbock TX 79415
Phone: (806) 775-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X T-2035 Mississippi
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X N8863 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N8863 Texas

Profile Details

NPI number 1780879643
LBN Legal business name Troutman, Gerad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Dec 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780879643 NPPES
Other 14148491 CAQH
MEDICAID 2141082 CAQH

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