Organization
HECTOR R. TREVINO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR RAUL TREVINO M.D. (PRESIDENT)
(830) 773-3353
Entity
Organization
Contact information
Practice address
2176 E GARRISON ST STE C, EAGLE PASS, TX 78852-5072
(830) 773-3353
Mailing address
2176 E GARRISON ST STE C, EAGLE PASS, TX 78852-5072
(830) 773-3353
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159627201
—
TX
Enumeration date
06/22/2007
Last updated
03/31/2014
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