Provider Demographics
NPI:1649493065
Name:TROSTEL OBGYN & ASSOCIATES PA
Entity type:Organization
Organization Name:TROSTEL OBGYN & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:TROSTEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-276-1751
Mailing Address - Street 1:777 WALTER REED BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-5727
Mailing Address - Country:US
Mailing Address - Phone:972-276-1751
Mailing Address - Fax:972-276-1334
Practice Address - Street 1:777 WALTER REED BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5727
Practice Address - Country:US
Practice Address - Phone:972-276-1751
Practice Address - Fax:972-276-1334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5655174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6869OtherPARKLAND MEDICAID
TX8G0080OtherBC BS OF TEXAS
TX6869OtherPARKLAND MEDICAID
TXG24978Medicare UPIN