Organization
CESAR D TRIVINO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESAR DAVID TRIVINO MD (PRESIDENT)
(806) 275-9064
Entity
Organization
Contact information
Practice address
200 S MCGEE ST, ANESTHESIA SUITE, BORGER, TX 79007-4022
(806) 275-9064
Mailing address
304 LOMA LINDA LN STE 100, BORGER, TX 79007-8500
(806) 275-9064
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
L5592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078KQ
BCBS
TX
05
—
1629230-01
—
TX
Enumeration date
01/24/2008
Last updated
10/07/2009
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