Provider Demographics
NPI:1992931091
Name:TROTTER, FREDERICK CLAYTON (BA, BA, BS)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:CLAYTON
Last Name:TROTTER
Suffix:
Gender:
Credentials:BA, BA, BS
Other - Prefix:MR
Other - First Name:FRED
Other - Middle Name:CLAYTON
Other - Last Name:TROTTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA, BA, BS
Mailing Address - Street 1:5103 CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5833
Mailing Address - Country:US
Mailing Address - Phone:713-965-4327
Mailing Address - Fax:713-636-2549
Practice Address - Street 1:901 HST NE
Practice Address - Street 2:APT 224
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4522
Practice Address - Country:US
Practice Address - Phone:713-965-4327
Practice Address - Fax:713-636-2549
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information
Provider Identifiers
StateIdentifier IDID TypeIssuer
007OtherHER MAJESTY AND/OR MYSELF