MEDICARE: MANUEL THOMAS TRIGO

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	341600000X	Ambulance	800228	TX

General Provider Information

NPI Number	:	1780737098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANUEL THOMAS TRIGO

Provider Business Mailing Address
First Line	:	2045 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3423
Country	:	US
Telephone Number	:	956-686-1670
Fax Number	:	713-524-0504

Provider Business Practice Location Address
First Line	:	2045 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3423
Country	:	US
Telephone Number	:	956-686-1670
Fax Number	:	713-524-0504

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MANUEL TOMAS TRIGO
Credential	:	EMT
Telephone Number	:	713-524-0505

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	04/02/2009

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Directions to “MANUEL THOMAS TRIGO ” Practice Location

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