1992931091 NPI number — MR. FREDERICK CLAYTON TROTTER B.A., B.A., B.S.

Table of content: MR. FREDERICK CLAYTON TROTTER B.A., B.A., B.S. (NPI 1992931091)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992931091 NPI number — MR. FREDERICK CLAYTON TROTTER B.A., B.A., B.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TROTTER
Provider First Name:
FREDERICK
Provider Middle Name:
CLAYTON
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
B.A., B.A., B.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TROTTER
Provider Other First Name:
FRED
Provider Other Middle Name:
CLAYTON
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
B.A., B.A., B.S.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1992931091
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5103 CRAWFORD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77004-5833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-965-4327
Provider Business Mailing Address Fax Number:
713-636-2549

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 HST NE
Provider Second Line Business Practice Location Address:
APT 224
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20002-4522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-965-4327
Provider Business Practice Location Address Fax Number:
713-636-2549
Provider Enumeration Date:
06/03/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 007 . This is a "HER MAJESTY AND/OR MYSELF" identifier . This identifiers is of the category "OTHER".




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