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45D0867592 CLIA NUMBER - BROOKS P TROTTER MD PA

Laboratory Demographics

CLIA Number: 45D0867592

Facility Name: BROOKS P TROTTER MD PA

Facility Address:
1604 LANCASTER DRIVE
GRAPEVINE, TX
ZIP 76051
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Facility Phone Number: 817 481-8661

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1891871679

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 45D0867592
LAB Type Physician Office
Facility Name BROOKS P TROTTER MD PA
Street 1604 LANCASTER DRIVE
City GRAPEVINE
State TX
ZIP 76051
Phone 817 481-8661
CertificateType 4
CertificateEffectiveDate 8/24/2023
CertificateExpirationDate 8/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024