Provider Demographics
NPI:1689601825
Name:TROHA, PHILIP JEFFREY (CRNA)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:JEFFREY
Last Name:TROHA
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 CERAN DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-2822
Mailing Address - Country:US
Mailing Address - Phone:817-308-0721
Mailing Address - Fax:
Practice Address - Street 1:5405 CERAN DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2822
Practice Address - Country:US
Practice Address - Phone:817-308-0721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9826111N00000X
TX083790367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV07099Medicare UPIN
TX8F1366Medicare ID - Type UnspecifiedPROVIDER NUMBER
TXTXB128483Medicare PIN