Trevino, Jose D
Trevino, Jose D is an sole proprietor health care provider with primary practice located at 613 Elizabeth St Ste 805, Corpus Christi TX 78404-2232. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Trevino, Jose D can be contacted via phone (361) 883-1744.Contact Information
Primary practice address
613 Elizabeth St Ste 805
Corpus Christi TX 78404-2232
Phone: (361) 883-1744
Fax: (361) 882-3920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | F2074 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | F2074 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | F2074 | Texas |
Profile Details
| NPI number | 1508869603 |
|---|---|
| LBN Legal business name | Trevino, Jose D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 30th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508869603 | NPPES |
| Texas | MEDICAID | 133638001 | |
| Texas | Other | 0017DR |
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