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Individual

DANIEL G TREVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
123 STONE OAK LOOP, SAN ANTONIO, TX 78258-3391
(210) 495-7334
(210) 495-7203
Mailing address
13750 SAN PEDRO AVE, SUITE 560, SAN ANTONIO, TX 78232-4375
(210) 561-3100
(210) 545-3076

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J7700
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120531205
TX
Enumeration date
06/02/2005
Last updated
03/26/2012
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