Provider Demographics
NPI:1629326939
Name:ANTHONY E D TRABUE MD PC
Entity Type:Organization
Organization Name:ANTHONY E D TRABUE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:WALSH
Authorized Official - Last Name:TRABUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-342-7425
Mailing Address - Street 1:2201 MURPHY AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1835
Mailing Address - Country:US
Mailing Address - Phone:615-342-7425
Mailing Address - Fax:615-342-7428
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-342-7425
Practice Address - Fax:615-342-7428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty