Individual
OCTAVIO TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7760 ALABAMA ST, EL PASO, TX 79904-3136
(915) 755-8478
(915) 755-7331
Mailing address
7760 ALABAMA ST, EL PASO, TX 79904-3136
(915) 755-8478
(915) 755-7333
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
K6787
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
K6787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06879225
—
NM
05
—
167289101
—
TX
01
—
167289102
CIDC
TX
Enumeration date
03/29/2006
Last updated
03/01/2023
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