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NPI Code Detail

MEDICARE: GINGER A TREJO NP

MEDICARE: GINGER A TREJO NP
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
1363L00000XNurse Practitioner598440TX
2363LW0102XWomen's Health Nurse Practitioner598440TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336189125
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINGER A TREJO NP
Provider Business Mailing Address
First Line : 17350 ST LUKES WAY STE 390
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77384-4167
Country : US
Telephone Number : 936-273-1600
Fax Number : 936-273-1635
Provider Business Practice Location Address
First Line : 17350 ST LUKES WAY STE 390
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77384-4167
Country : US
Telephone Number : 936-273-1600
Fax Number : 936-273-1635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 01/06/2023

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Directions to “ GINGER A TREJO NP” Practice Location

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