Brandon Trevino, Dds, Pa

LBN: Brandon Trevino, Dds, Pa
Brandon Trevino, Dds, Pa is an health care organization with primary practice located at 1550 Norwood Dr Suite 400, Hurst TX 76054-3646. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Brandon Trevino, Dds, Pa can be contacted via phone (817) 282-3411, or through Trevino, Brandon Jay via phone (817) 282-3411.

Contact Information

Primary practice address
1550 Norwood Dr Suite 400 Hurst TX 76054-3646
Phone: (817) 282-3411
Fax: (817) 268-3529
Website:
Map and Directions
Authorized official contact:
Name: Trevino, Brandon Jay Doctor of Dental Surgery (DDS)
Phone: (817) 282-3411

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 23264 Texas

Profile Details

NPI number 1720380728
LBN Legal business name Brandon Trevino, Dds, Pa
DBA Doing business as
Authorized official Trevino, Brandon Jay Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2010
Last updated Nov 23rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720380728 NPPES
Texas MEDICAID 189848820

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