# JAVIER TREVINO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457435489
- **Authorized official:** MR. JAVIER TREVINO SR. RRT (OWNER)
- **Authorized official phone:** (956) 631-7406

## Contact information

- **Practice address:** 1349 E HACKBERRY AVE, MCALLEN, TX 78501-5702
- **Practice address phone:** (956) 631-7406
- **Practice address fax:** (956) 631-7506
- **Mailing address:** 1349 E HACKBERRY AVE, MCALLEN, TX 78501-5702
- **Mailing address phone:** (956) 631-7406
- **Mailing address fax:** (956) 631-7506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 58015 | TX | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 07/10/2008