MEDICARE: ROCIO TRUJILLO MD

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	208000000X	Pediatrics Physician	33599	PR
2	208000000X	Pediatrics Physician	R9300	TX

General Provider Information

NPI Number	:	1124402268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCIO TRUJILLO MD

Provider Business Mailing Address
First Line	:	122 W JOHN CARPENTER FWY STE 420
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-2014
Country	:	US
Telephone Number	:	972-957-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6812 HARRISBURG BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4626
Country	:	US
Telephone Number	:	713-715-4460
Fax Number	:

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

Provider Enumeration Date	:	07/18/2015
Last Update Date	:	06/04/2019

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Directions to “ ROCIO TRUJILLO MD” Practice Location

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