Doctor Name: | CARLOS SERVANDO TREVINO |
NPI Number: | 1063701530 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RLD |
License Number: | DT81217 |
Business Practice Address: | 5709 Springfield Ave Laredo, TX - 780413282 |
Business Phone Number: | 9567281769 |
Business Fax Number: | |
Mailing Address: | 5709 Springfield Ave, LAREDO |
State: | TX |
Postal Code: | 780413282 |
Phone Number: | 9567281769 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT81217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |