Individual
ANTONIO TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 5TH ST, FARWELL, TX 79325-5615
(888) 873-4221
Mailing address
PO BOX 890, FARWELL, TX 79325-0890
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1160640
TX
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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