Adam Trevino, | |
2210 Nw Military Hwy, San Antonio, TX 78213-1815 | |
(210) 344-1400 | |
Not Available |
Full Name | Adam Trevino |
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Gender | Male |
Speciality | Optometrist |
Location | 2210 Nw Military Hwy, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952087645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 10899T (Texas) | Primary |
Provider Name | Raul A. Trevino, Od, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932246758 PECOS PAC ID: 9739278862 Enrollment ID: O20071127000746 |
Mailing Address | Practice Location Address |
---|---|
Adam Trevino, 3 Parman Pl, San Antonio, TX 78230-4137 Ph: (210) 831-3763 | Adam Trevino, 2210 Nw Military Hwy, San Antonio, TX 78213-1815 Ph: (210) 344-1400 |
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