Healthcare Provider Details

I. General information

NPI: 1912844408
Provider Name (Legal Business Name): AHREN LEO TREVINO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S AGUIRRE ST
RIO GRANDE CITY TX
78582-4809
US

IV. Provider business mailing address

127 S AGUIRRE ST
RIO GRANDE CITY TX
78582-4809
US

V. Phone/Fax

Practice location:
  • Phone: 956-624-9898
  • Fax:
Mailing address:
  • Phone: 956-624-9898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: