MEDICARE: DR. MICHAEL J TROY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	J2993	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184613242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J TROY M.D.

Provider Business Mailing Address
First Line	:	1355 CENTRAL PKWY S
Second Line	:	STE 400
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5057
Country	:	US
Telephone Number	:	210-349-9300
Fax Number	:	210-366-2558

Provider Business Practice Location Address
First Line	:	1303 MCCULLOUGH AVE
Second Line	:	SUITE GL70
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-5631
Country	:	US
Telephone Number	:	210-226-9705
Fax Number	:	210-223-4555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	01/28/2019

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