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General NPI Number Information
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NPI Number | 1922662824
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Entity Type | Individual
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Provider Name | TOMAS ANTONIO TREVINO DPM
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Gender | Male
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 305 SANDY CORNER RD STE 210
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City | EL CAMPO
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State | TX
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Zip | 77437-9535
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Country | US
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Telephone | 979-677-3343
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Fax | 833-973-3966
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Provider Business Mailing Address
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Address Line | 305 SANDY CORNER RD STE 210
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City | EL CAMPO
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State | TX
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Zip | 77437-9535
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Country | US
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Telephone | 979-677-3343
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Fax | 833-973-3966
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 3161
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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