Individual
CIDIA TREVINO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
614 MACO DR, HARLINGEN, TX 78550-8450
(956) 296-7000
(956) 440-9801
Mailing address
PO BOX 531968, HARLINGEN, TX 78553-1968
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405022101
—
TX
01
—
H08LX10101
BCBS
TX
Enumeration date
08/06/2019
Last updated
05/03/2024
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