# MICHELLE J TREVINO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245281930
- **Authorized official:** MR. JOE ALVAREZ (DIRECTOR)
- **Authorized official phone:** (956) 783-8875

## Contact information

- **Practice address:** 2207 N RAUL LONGORIA RD, SAN JUAN, TX 78589-4114
- **Practice address phone:** (956) 783-8875
- **Practice address fax:** (956) 783-3072
- **Mailing address:** 2207 RAUL LONGORIA ST, SAN JUAN, TX 78589-4114
- **Mailing address phone:** (956) 783-8875
- **Mailing address fax:** (956) 783-3072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0012763 | TX | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 06/25/2008