Healthcare Provider Details

I. General information

NPI: 1023334612
Provider Name (Legal Business Name): ASHLEY RENEE TROTTER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 W RANDOL MILL RD STE, 190
ARLINGTON TX
76012-3054
US

IV. Provider business mailing address

3507 WILLOWOOD CIR APT. #2021
ARLINGTON TX
76015-3373
US

V. Phone/Fax

Practice location:
  • Phone: 817-265-1466
  • Fax:
Mailing address:
  • Phone: 501-658-1362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80184
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: