Trejo, Octavio
Trejo, Octavio is an individual health care provider with primary practice located at 7760 Alabama St , El Paso TX 79904-3136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Trejo, Octavio can be contacted via phone (915) 755-8478.Contact Information
Primary practice address
7760 Alabama St
El Paso TX 79904-3136
Phone: (915) 755-8478
Fax: (915) 755-7331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | K6787 | Texas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | K6787 | Texas |
Profile Details
| NPI number | 1629039623 |
|---|---|
| LBN Legal business name | Trejo, Octavio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Mar 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629039623 | NPPES |
| Texas | Other | 167289102 | CIDC |
| Texas | MEDICAID | 06879225 | CIDC |
| Texas | MEDICAID | 167289101 | CIDC |
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