Individual
EDGAR ALBERTO TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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 B, LAREDO, TX 78041-2211
(956) 285-7785
(956) 994-9082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N4805
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
N4805
TX
208M00000X
Hospitalist Physician
61897
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669794657
NPI GROUP NUMBER
TX
01
—
212220201
MEDICAID GROUP NUMBER
TX
01
—
212220202
MEDICAID TEXAS HEALTH STEPS
TX
05
—
212222801
—
TX
01
—
TXB100623
MEDICARE GRP NUMBER
TX
Enumeration date
06/20/2008
Last updated
05/13/2026
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