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Organization
TESORO MEDICAL CARE P.A.
Active
Organization
TESORO MEDICAL CARE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR DANIEL TREVINO M.D. (PRESIDENT)
(956) 727-2997
Entity
Organization
Contact information
Practice address
101 W VILLAGE BLVD STE A, LAREDO, TX 78041-2211
(956) 727-2997
(956) 727-3557
Mailing address
101 W VILLAGE BLVD STE A, LAREDO, TX 78041-2211
(956) 727-2997
(956) 727-3557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
G7898
TX
335E00000X
Prosthetic/Orthotic Supplier
G7898
TX
Other
Enumeration date
11/26/2007
Last updated
01/24/2024
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