# JUAN JOSE TREVINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134174766
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E4726 | TX | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | E4726 | TX | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 06/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 118685003 | — | TX |
| 01 | — | 118685004 | CSHCN | TX |
| 01 | — | 8AP823 | BLUE CROSS BLUE SHIELD | TX |