| Dr. Rudolph W. Troup, P.c. | |
|
8889 Jewella Ave Suite E Shreveport LA 71118-2138 | |
| (318) 686-5227 | |
| (318) 686-5283 |
| Full Name | Dr. Rudolph W. Troup, P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 8889 Jewella Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Rudolph Wayne Troup (OPTOMETRIST) |
| Authorized Official Contact | 3186865227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Rudolph W. Troup, P.c. 8889 Jewella Ave Suite E Shreveport LA 71118-2138 Ph: (318) 686-5227 | Dr. Rudolph W. Troup, P.c. 8889 Jewella Ave Suite E Shreveport LA 71118-2138 Ph: (318) 686-5227 |
| NPI Number | 1740563741 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740563741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 725178T (Louisiana) | Primary |
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