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NPI Code Detail

MEDICARE: MRS. KIM-MARIE TROUTMAN NP

MEDICARE:  MRS. KIM-MARIE  TROUTMAN  NP
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
1363LA2200XAdult Health Nurse Practitioner652747TX

General Provider Information

NPI Number : 1255328241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIM-MARIE TROUTMAN NP
Provider Business Mailing Address
First Line : 17376 NORTHWEST FWY
Second Line :
City : JERSEY VILLAGE
State : TX
Zip : 77040-1114
Country : US
Telephone Number : 713-466-0197
Fax Number :
Provider Business Practice Location Address
First Line : 17376 NORTHWEST FWY
Second Line :
City : JERSEY VILLAGE
State : TX
Zip : 77040-1114
Country : US
Telephone Number : 713-466-0197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 05/03/2016

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Directions to “ MRS. KIM-MARIE TROUTMAN NP” Practice Location

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