| Organization Name: | AMANDA A TROTT, MD PA |
| NPI Number: | 1124399092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA A TROTT (OWNER PHYSICIAN) |
| Mailing Address: | 5656 Bee Cave Rd Ste G201 West Lake Hills |
| State: | TX US |
| Postal Code: | 787465280 |
| Phone Number: | 5127322774 |
| Fax Number: | 5123296871 |
| NPI Enumeration Date: | 01/24/2012 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |