Individual
DANIEL A TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 S VINE ST, BASTROP, LA 71220-4514
(318) 283-3970
Mailing address
PO BOX 1060, BASTROP, LA 71221-1060
(318) 283-3920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14979R
LA
Other
Enumeration date
05/15/2006
Last updated
03/12/2024
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