Individual
FERNANDO TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7910 TEAK LN STE 202, SAN ANTONIO, TX 78209-1764
(210) 538-2020
(210) 599-6622
Mailing address
9211 BROADWAY UNIT 17283, SAN ANTONIO, TX 78217-7011
(210) 538-2020
(210) 599-6622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L7233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165798303
—
TX
01
—
522957ZV6Y
MEDICARE PTAN
TX
Enumeration date
06/28/2005
Last updated
06/11/2024
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