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Victor Jesus Trevino

Family Medicine

Allopathic & Osteopathic Physicians

333 N Santa Rosa, Center For Children & Families, 4th Floor, San Antonio, TX 78207-3108

PECOS Enrollment

This provider is enrolled in PECOS as VICTOR TREVINO.

Based on the most recent information from CMS, provider Victor Jesus Trevino is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134440696
Provider Type
Individual
Full Name
Trevino, Victor Jesus
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/18/2010
Last Updated
7/10/2022

Contact Information

Practice Location

333 N Santa Rosa, Center For Children & Families, 4th Floor, San Antonio, TX 78207-3108

(210) 704-4140

(210) 704-4136

Mailing Location

333 N Santa Rosa, Center For Children & Families, Suite 4703, San Antonio, TX 78207-3108

(210) 704-2575

(210) 704-2545

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License P1938 Texas

Victor Jesus Trevino

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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