Individual
ANTONIO TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
422 E 18TH ST, WESLACO, TX 78596-8032
(956) 973-8451
Mailing address
4107 W MILE 171/2 RD, EDINBURG, TX 78541
(956) 393-8504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012803
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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