Dr Christopher Lee Trevino, OD | |
15677b San Pedro Ave, San Antonio, TX 78232-3732 | |
(210) 490-9205 | |
Not Available |
Full Name | Dr Christopher Lee Trevino |
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Gender | Male |
Speciality | Optometrist |
Location | 15677b San Pedro Ave, 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 |
---|---|---|---|
1679914725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 8149-TG (Texas) | Primary |
Provider Name | Carlos Manrique De Lara Mdpa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770558447 PECOS PAC ID: 2466435540 Enrollment ID: O20040610000078 |
Provider Name | Aeg Texas Professional Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
Mailing Address | Practice Location Address |
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Dr Christopher Lee Trevino, OD Po Box 160308, San Antonio, TX 78280-2508 Ph: (210) 366-1199 | Dr Christopher Lee Trevino, OD 15677b San Pedro Ave, San Antonio, TX 78232-3732 Ph: (210) 490-9205 |
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