| Brandon Trevino, Dds, Pa | |
|
1550 Norwood Dr Suite 400 Hurst TX 76054-3646 | |
| (817) 282-3411 | |
| (817) 268-3529 |
| Full Name | Brandon Trevino, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1550 Norwood Dr, Hurst, Texas |
| Authorized Official Name and Position | Brandon Jay Trevino (OWNER) |
| Authorized Official Contact | 8172823411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Trevino, Dds, Pa 1550 Norwood Dr Suite 400 Hurst TX 76054-3646 Ph: (817) 282-3411 | Brandon Trevino, Dds, Pa 1550 Norwood Dr Suite 400 Hurst TX 76054-3646 Ph: (817) 282-3411 |
| NPI Number | 1720380728 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720380728 | NPI | - | NPPES |
| 189848820 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23264 (Texas) | Primary |
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