| Hector R. Trevino, M.d., P.a. | |
|
2176 E Garrison St Ste C Eagle Pass TX 78852-5072 | |
| (830) 773-3353 | |
| Not Available |
| Full Name | Hector R. Trevino, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2176 E Garrison St Ste C, Eagle Pass, Texas |
| Authorized Official Name and Position | Hector Raul Trevino (PRESIDENT) |
| Authorized Official Contact | 8307733353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hector R. Trevino, M.d., P.a. 2176 E Garrison St Ste C Eagle Pass TX 78852-5072 Ph: (830) 773-3353 | Hector R. Trevino, M.d., P.a. 2176 E Garrison St Ste C Eagle Pass TX 78852-5072 Ph: (830) 773-3353 |
| NPI Number | 1740486208 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 03/31/2014 |
| Medicare PECOS PAC ID | 0143366880 |
|---|---|
| Medicare Enrollment ID | O20091009000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740486208 | NPI | - | NPPES |
| 159627201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hector R. Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346349354 PECOS PAC ID: 8123936994 Enrollment ID: I20080721000106 |
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