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Contact Information

AMANDA C TROUT, DO
954 AVENIDA PONCE DE LEON
STE 205- PMB#10600
SAN JUAN, PR00906
 Phone: 847-275-5961
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for AMANDA C TROUT · (Female)

NPI Number 1699074823
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/28/2011
Last updated 10/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # Q7802
  • TX Medicaid 363846202
Hospital affiliation(s)
  • BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS - (Acute Care)
    1600 WALLACE BLVD
    AMARILLO, TX 79106
  • NORTHWEST TEXAS HOSPITAL - (Acute Care)
    1501 COULTER ROAD
    AMARILLO, TX 79106
  • QUAIL CREEK SURGICAL HOSPITAL - (Acute Care)
    6819 PLUM CREEK
    AMARILLO, TX 79124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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