Trevino, Diane

Trevino, Diane is an sole proprietor health care provider with primary practice located at 177 Thorain Blvd , San Antonio TX 78212-1227. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Trevino, Diane can be contacted via phone (210) 391-8457.

Contact Information

Primary practice address
177 Thorain Blvd San Antonio TX 78212-1227
Phone: (210) 391-8457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1622 Texas

Profile Details

NPI number 1508837048
LBN Legal business name Trevino, Diane
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated May 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508837048 NPPES
Texas Other P00398188 RAILROAD MEDICARE
Texas MEDICAID 018574601 RAILROAD MEDICARE

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