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 |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4615 Alameda Ave, El Paso, Texas |
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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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