David Albert Trevino Jr.
Technician, Pathology, Phlebotomy in Chickasha, OK. Individual provider (NPI-1).
NPI number1164079307
StatusActive
Last updated in NPPESAug 22, 2019
Details
- NPI
- 1164079307
- Entity type
- Individual (NPI-1)
- Name
- David Albert Trevino Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2019
- Last updated
- Aug 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | Yes |
Practice location
804 W Choctaw AveChickasha, OK 73018-2310
Phone 405-222-0622
Mailing address
804 W Choctaw AveChickasha, OK 73018-2310
Phone 405-222-0622
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