# JOSE DE JESUS TREVINO PAIN MANAGEMENT CENTER P A

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

## Provider details

- **NPI number:** 1437309192
- **Authorized official:** DR. JOSE DE JESUS TREVINO M.D. (OWNER)
- **Authorized official phone:** (361) 883-1744

## Contact information

- **Practice address:** 613 ELIZABETH ST, SUITE 805, CORPUS CHRISTI, TX 78404-2220
- **Practice address phone:** (361) 883-1744
- **Practice address fax:** (361) 882-3920
- **Mailing address:** PO BOX 3905, CORPUS CHRISTI, TX 78463-3905
- **Mailing address phone:** (361) 883-1744
- **Mailing address fax:** (361) 882-3920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | F-2074 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 01/20/2009