Tesoro Medical Care P.a. | |
101 W Village Blvd Ste A Laredo TX 78041-2211 | |
(956) 727-2997 | |
(956) 727-3557 |
Full Name | Tesoro Medical Care P.a. |
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Speciality | Family Medicine |
Location | 101 W Village Blvd Ste A, Laredo, Texas |
Authorized Official Name and Position | Victor Daniel Trevino (PRESIDENT) |
Authorized Official Contact | 9567272997 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tesoro Medical Care P.a. 101 W Village Blvd Ste A Laredo TX 78041-2211 Ph: (956) 727-2997 | Tesoro Medical Care P.a. 101 W Village Blvd Ste A Laredo TX 78041-2211 Ph: (956) 727-2997 |
NPI Number | 1841471463 |
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Provider Enumeration Date | 11/26/2007 |
Last Update Date | 01/24/2024 |
Medicare PECOS PAC ID | 4183662927 |
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Medicare Enrollment ID | O20050421000566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841471463 | NPI | - | NPPES |
Provider Name | Victor D Trevino |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982662029 PECOS PAC ID: 9234178492 Enrollment ID: I20050428000086 |
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