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General NPI Number Information
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NPI Number | 1053764134
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Entity Type | Organization
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Legal Business Name | DONALD TRILLOS MD PA
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 13111 EAST FWY STE 217
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City | HOUSTON
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State | TX
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Zip | 77015-5819
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Country | US
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Telephone | 713-455-6070
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Fax | 713-455-6466
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Provider Business Mailing Address
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Address Line | 13111 EAST FWY STE 217
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City | HOUSTON
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State | TX
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Zip | 77015-5803
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Country | US
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Telephone | 713-455-6070
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Fax | 713-455-6466
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DONALD TRILLOS
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Credential | MD
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Telephone | 713-455-6070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | E5968
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License Number State | TX
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