Individual
J GUILLERMO TRABANINO
Active
Individual
J GUILLERMO TRABANINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F8707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100017209
RAILROAD
TX
05
—
124580507
—
TX
01
—
8F8811
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
08/01/2005
Last updated
01/27/2009
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