MEDICARE: MR. STEVEN CHAVEZ TREVINO FNP-C

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	363LF0000X	Family Nurse Practitioner	AP143530	TX

General Provider Information

NPI Number	:	1447892948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN CHAVEZ TREVINO FNP-C

Provider Business Mailing Address
First Line	:	15519 CAPRI LN
Second Line	:
City	:	SELMA
State	:	TX
Zip	:	78154-3569
Country	:	US
Telephone Number	:	210-789-3301
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 3RD ST W BLDG 1040
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78150-4800
Country	:	US
Telephone Number	:	210-652-1876
Fax Number	:

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

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	01/21/2025

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