Organization
FAMILY CLINICS OF LAREDO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR A TREVINO MD (MD)
(956) 285-7785
Entity
Organization
Contact information
Practice address
3102 ROSS ST, LOOP 20, LAREDO, TX 78043-4980
(956) 727-3547
(956) 725-8737
Mailing address
101 W VILLAGE BLVD, SUITE B, LAREDO, TX 78041-2211
(956) 727-3047
(956) 717-3630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212220201
—
TX
Enumeration date
02/18/2010
Last updated
08/09/2010
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