Individual
DR. RICHARD RENE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12412 JUDSON RD, LIVE OAK, TX 78233-3255
(336) 480-6774
Mailing address
12412 JUDSON RD, LIVE OAK, TX 78233-3255
(336) 480-6774
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T0650
TX
Other
Enumeration date
04/11/2018
Last updated
11/17/2021
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