Individual
DR. CHRIS T TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41229 HIGHWAY 941, GONZALES, LA 70737-8206
(225) 806-3397
(225) 644-1423
Mailing address
41229 HIGHWAY 941, GONZALES, LA 70737-8206
(225) 806-3397
(225) 644-1423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023255
LA
2084P0800X
Psychiatry Physician
023255
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1698270
—
LA
01
—
5A536
MEDICARE PTAN
LA
Enumeration date
07/31/2006
Last updated
09/25/2023
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