Provider Demographics
NPI:1740285535
Name:WROE, TROY SCOTT (FNP-C)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:SCOTT
Last Name:WROE
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 KNOLLWOOD ROAD
Mailing Address - Street 2:#311
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092
Mailing Address - Country:US
Mailing Address - Phone:214-769-9747
Mailing Address - Fax:
Practice Address - Street 1:4901 KNOLLWOOD ROAD
Practice Address - Street 2:#311
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092
Practice Address - Country:US
Practice Address - Phone:214-769-9747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2023-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1020692363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU65504Medicare UPIN
TX8C8624Medicare ID - Type Unspecified