Provider Demographics
NPI:1588685580
Name:LIMAR-TROUTMAN, FALANDA M (DO)
Entity Type:Individual
Prefix:
First Name:FALANDA
Middle Name:M
Last Name:LIMAR-TROUTMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:FALANDA
Other - Middle Name:
Other - Last Name:LIMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 WOODLAWN DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546
Mailing Address - Country:US
Mailing Address - Phone:832-738-1079
Mailing Address - Fax:281-993-1200
Practice Address - Street 1:107 WOODLAWN DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546
Practice Address - Country:US
Practice Address - Phone:832-738-1079
Practice Address - Fax:281-993-1200
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3004207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GP894OtherBCBS
TX8GP894OtherBCBS