Individual
DR. JOSE D TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 ELIZABETH ST, STE 805, CORPUS CHRISTI, TX 78404-2232
(361) 883-1744
(361) 882-3920
Mailing address
613 ELIZABETH ST, STE 805, CORPUS CHRISTI, TX 78404-2232
(361) 883-1744
(361) 882-3920
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
F2074
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
F2074
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
F2074
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017DR
BLUE CROSS/BLUE SHIELD
TX
05
—
133638001
—
TX
Enumeration date
05/23/2005
Last updated
09/30/2013
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