MEDICARE: MISS JACQUELINE JEANNETTE TREVINO M.S. CCC/SLP

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
1	235Z00000X	Speech-Language Pathologist	103270	TX

General Provider Information

NPI Number	:	1619170586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JACQUELINE JEANNETTE TREVINO M.S. CCC/SLP

Provider Business Mailing Address
First Line	:	7814 CALVARY STAGE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-2189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5210 THOUSAND OAKS DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-6974
Country	:	US
Telephone Number	:	210-733-9050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	02/10/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1396754958 — WILLIAM E SPONSEL M.D.
Practice Location Address:

5210 THOUSAND OAKS DR STE 1244
SAN ANTONIO, TX
78233-6974

Practice Phone: 210-223-9292
Practice Fax: 210-223-9266

1689777500 — MS. MARY HELEN MARTINEZ MA, SLP/CCC
Practice Location Address:

5210 THOUSAND OAKS DR # 1333
SAN ANTONIO, TX
78233-6974

Practice Phone: 210-733-9050
Practice Fax: 210-733-9069

1114103546 — TEAMABILITY, INC.
Practice Location Address:

5210 THOUSAND OAKS DR STE 1333
SAN ANTONIO, TX
78233-6974

Practice Phone: 210-733-9050
Practice Fax:

1568600534 — WILLIAM E SPONSEL, M.D. PA
Practice Location Address:

5210 THOUSAND OAKS DR STE 1244
SAN ANTONIO, TX
78233-6974

Practice Phone: 210-223-9292
Practice Fax: 210-223-9266

1407177124 — DR. DAVID ANTHONY RODRIGUEZ JR. M.D.
Practice Location Address:

5210 THOUSAND OAKS DR
SAN ANTONIO, TX
78233-6974

Practice Phone: 210-261-4416
Practice Fax: 210-261-1833

Directions to “ MISS JACQUELINE JEANNETTE TREVINO M.S. CCC/SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.