Healthcare Provider Details

I. General information

NPI: 1932013208
Provider Name (Legal Business Name): MRS. MELANIE LYNN TROSCLAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 HUMMINGBIRD DR
HOUMA LA
70364-1188
US

IV. Provider business mailing address

276 HUMMINGBIRD DR
HOUMA LA
70364-1188
US

V. Phone/Fax

Practice location:
  • Phone: 985-855-1214
  • Fax:
Mailing address:
  • Phone: 985-855-1214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number11107
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: