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NPI Code Detail

MEDICARE: MR. DAN A TRUSSELL LMFT

MEDICARE: MR. DAN A TRUSSELL LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist2000-03849TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407818859
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAN A TRUSSELL LMFT
Provider Business Mailing Address
First Line : PO BOX 1108
Second Line :
City : EDINBURG
State : TX
Zip : 78540-1108
Country : US
Telephone Number : 956-289-7000
Fax Number : 956-289-7257
Provider Business Practice Location Address
First Line : 1901 S 24TH AVE
Second Line :
City : EDINBURG
State : TX
Zip : 78539-6533
Country : US
Telephone Number : 956-289-7000
Fax Number : 956-289-7257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 02/25/2009

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Directions to “ MR. DAN A TRUSSELL LMFT” Practice Location

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