Individual
DR. SEAN TREVATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
12345 LAMPLIGHT VILLAGE AVE, APT 915, AUSTIN, TX 78758
(409) 790-9739
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
BP10053988
TX
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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