Healthcare Provider Details

I. General information

NPI: 1992931091
Provider Name (Legal Business Name): FREDERICK CLAYTON TROTTER B.A., B.A., B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRED CLAYTON TROTTER B.A., B.A., B.S.

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 04/10/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 HST NE APT 224
WASHINGTON DC
20002-4522
US

IV. Provider business mailing address

5103 CRAWFORD ST
HOUSTON TX
77004-5833
US

V. Phone/Fax

Practice location:
  • Phone: 713-965-4327
  • Fax: 713-636-2549
Mailing address:
  • Phone: 713-965-4327
  • Fax: 713-636-2549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: