Individual
DR. JAKE JULIAN TRINIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
Q5111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700528239
NPI
TX
01
—
1861787418
NPI
TX
Enumeration date
06/11/2011
Last updated
09/20/2022
Update your record
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