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Individual

DR. GERARDO HERNANDEZ TRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4461 COIT RD, SUITE 100, FRISCO, TX 75035-0521
(972) 987-1975
(972) 335-0712
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
H8875
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100041920A
OK
05
134651202
TX
05
134651211
TX
05
134651213
TX
01
8R1571
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
07/13/2011
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