Tyler Trevino, MD is a
Student In An Organized Health Care Education/training Program based in El Paso, Texas. Tyler Trevino is licensed to practice in * (Not Available) (license number ) and his current practice location is
4615 Alameda Ave, El Paso, Texas. He can be reached at his office (for appointments etc.) via phone at
(915) 247-5999.
NPI number for Tyler Trevino is 1710577762 and his current mailing address is 517 N Tornillo St Apt A, Las Cruces, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710577762.
Healthcare Provider's Profile
| Full Name | Tyler Trevino |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4615 Alameda Ave, El Paso, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710577762
- Provider Enumeration Date: 01/24/2021
- Last Update Date: 01/24/2021
Medical Identifiers
Medical identifiers for Tyler Trevino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710577762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Trevino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tyler Trevino, MD 517 N Tornillo St Apt A, Las Cruces, NM 88001-2752 Ph: (505) 553-5191 | Tyler Trevino, MD 4615 Alameda Ave, El Paso, TX 79905-2702 Ph: (915) 247-5999 |
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