| Doctor Name: | CATHERINE BROUSSARD TREVINO |
| NPI Number: | 1043409477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 628747 |
| Business Practice Address: | 3420 Veterans Cir Beaumont, TX - 777072552 |
| Business Phone Number: | 4099818550 |
| Business Fax Number: | 4099818593 |
| Mailing Address: | 3420 Veterans Cir, BEAUMONT |
| State: | TX |
| Postal Code: | 777072552 |
| Phone Number: | 4099818550 |
| Fax Number: | 4099818593 |
| NPI Enumeration Date: | 10/22/2007 |
| NPI Last Update Date: | 08/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 628747 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |