Trevino, Rogelio

Trevino, Rogelio is an individual health care provider with primary practice located at 103 Thousand Oaks Blvd , Georgetown TX 78628-8757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Trevino, Rogelio can be contacted via phone (512) 869-4800.

Contact Information

Primary practice address
103 Thousand Oaks Blvd Georgetown TX 78628-8757
Phone: (512) 869-4800
Fax: (512) 868-8801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M7706 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X M7706 Texas

Profile Details

NPI number 1477682938
LBN Legal business name Trevino, Rogelio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jun 10th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477682938 NPPES
Texas MEDICAID 201408601
Texas MEDICAID 201408602
Texas Other 284059YLPS

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