Dr Christine Ann Trevino, DO | |
605 Old Austin Hwy, Bastrop, TX 78602-5034 | |
(512) 308-6894 | |
Not Available |
Full Name | Dr Christine Ann Trevino |
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Gender | Female |
Speciality | Pediatrics |
Location | 605 Old Austin Hwy, Bastrop, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164626727 | NPI | - | NPPES |
208903901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | N4419 (Texas) | Primary |
Entity Name | Lone Star Circle Of Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
Mailing Address | Practice Location Address |
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Dr Christine Ann Trevino, DO 205 E University Ave Ste 200, Georgetown, TX 78626-6821 Ph: (512) 994-1933 | Dr Christine Ann Trevino, DO 605 Old Austin Hwy, Bastrop, TX 78602-5034 Ph: (512) 308-6894 |
Dr. Melinda Holliday, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 622 W State Highway 71 Ste 102, Bastrop, TX 78602 Phone: 512-308-4311 Fax: 512-406-7327 | |
Dr. Mary Jane Wray, M.D., PHD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1602 Hill St, Bastrop, TX 78602 Phone: 512-772-4887 Fax: 830-875-6398 | |
Dr. Edgar L Molina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 877-800-5722 |