TREVINO ORTHOPAEDICS PLLC - NPI NUMBER 1477988970

Summary

Provider Name: TREVINO ORTHOPAEDICS PLLC

NPI Number: 1477988970

Clasification: Orthopaedic Surgery (207X00000X)

Address:
8601 VILLAGE DR
STE 206
SAN ANTONIO, TX
ZIP 78217

Phone Number: (210) 657-5600



Detailed Information

TREVINO ORTHOPAEDICS PLLC is an orthopaedic surgeon in San Antonio, TX. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. The assigned NPI number for this provider is 1477988970 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

8601 VILLAGE DR
STE 206
SAN ANTONIO, TX
ZIP 78217-512
Phone: (210) 657-5600
Fax: (210) 657-5601

The provider's authorized official is Richard C Trevino .
The authorized official title is President and has the following contact phone number (210) 657-5600.

The enumeration date for this NPI number is 9/4/2013 and was last updated on 9/4/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207X00000X Orthopaedic Surgery N7012 TX Yes

NPI Record

No. Field Name Field Value
1 NPI 1477988970
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name TREVINO ORTHOPAEDICS PLLC
5 Provider First Line Business Practice Location Address 8601 VILLAGE DR
6 Provider Second Line Business Practice Location Address STE 206
7 Provider Business Practice Location Address City Name SAN ANTONIO
8 Provider Business Practice Location Address State Name TX
9 Provider Business Practice Location Address Postal Code 782175512
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 2106575600
12 Provider Business Practice Location Address Fax Number 2106575601
13 Provider Enumeration Date 9/4/2013
14 Last Update Date 9/4/2013
15 Authorized Official Last Name TREVINO
16 Authorized Official First Name RICHARD
17 Authorized Official Middle Name C
18 Authorized Official Title or Position PRESIDENT
19 Authorized Official Telephone Number 2106575600
20 Healthcare Provider Taxonomy Code 1 207X00000X
21 Provider License Number 1 N7012
22 Provider License Number State Code 1 TX
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Is Organization Subpart N
25 Authorized Official Name Suffix Text II
26 Authorized Official Credential Text MD
27 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 4/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.