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Individual

PAUL TREVINO

Active
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Individual

PAUL TREVINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.P.A.-C

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
1097
246ZX2200X
Orthopedic Assistant
1097
TX
363AS0400X
Surgical Physician Assistant
Primary
1097

Other

Enumeration date
01/13/2010
Last updated
07/26/2015
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