Individual
MIGUEL TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1816 INCARNATE WORD AVE, MCALLEN, TX 78504-6176
(956) 648-3580
Mailing address
1816 INCARNATE WORD AVE, MCALLEN, TX 78504-6176
(956) 648-3580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2053363
TX
Other
Enumeration date
08/17/2018
Last updated
09/28/2021
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