Healthcare Provider Details

I. General information

NPI: 1245561059
Provider Name (Legal Business Name): RAY TRIMMIER DVM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2010
Last Update Date: 01/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 BROADWAY ST STE 108
SAN ANTONIO TX
78217-4915
US

IV. Provider business mailing address

9901 BROADWAY ST STE 108
SAN ANTONIO TX
78217-4915
US

V. Phone/Fax

Practice location:
  • Phone: 210-824-7344
  • Fax: 210-824-7508
Mailing address:
  • Phone: 210-824-7344
  • Fax: 210-824-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number5567
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: