person
Lisa Veronica Trevino, PA-C
Medical Physician Assistant in San Antonio, Texas
NPI 1861575318

Lisa Veronica Trevino is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Lisa Veronica Trevino practices in San Antonio, TX and has the professional credentials of PA-C. The NPI Number for Lisa Veronica Trevino is 1861575318 and holds a License No. PA04900 (Texas).

The current practice location address for Lisa Veronica Trevino is 4242 Medical Dr, San Antonio, TX and can be reached out via phone at 210-615-1187 and via fax at 210-614-2180.

Location: 4242 Medical Dr, San Antonio, TX, 78265-4717
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Provider Profile Details
NPI Number
1861575318
Provider Name
Lisa Veronica Trevino
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4242 Medical Dr, San Antonio, TX, 78265-4717
Phone Number
210-615-1187
Fax Number
210-614-2180
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
185347501 05 TX
8Y0782 01 TX BLUECROSS/BLUESHIELD TX.
institution
Provider Business Practice Location Address Details
Address
4242 Medical Dr
City
State
Zip
78229-5640
Phone Number
210-615-1187
Fax Number
210-614-2180
person
Provider Business Mailing Address Details
Address
4242 Medical Dr
City
State
Zip
78229-5640
Phone Number
210-615-1187
Fax Number
210-614-2180
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA04900 (Texas)
Definition
Definition to come...
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