Tri Dang D O PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L1015 Issued in TX

Legal business name

TRI DANG D O PA

Practice address

7430 Barlite Blvd Ste 103
San Antonio, TX 78224-1366

Phone

(210) 977-9080

Fax

(210) 977-8480

NPI assigned

Aug 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Ernestina Gallegos

Title

Office Manager

Phone

(210) 977-9080

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1679765325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 BARLITE BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241366",
            "telephone_number": "210-977-9080",
            "fax_number": "210-977-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 BARLITE BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241366",
            "telephone_number": "210-977-9080",
            "fax_number": "210-977-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI DANG D O PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ERNESTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-977-9080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1015",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L1015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L1015",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Rae Trevino
• Yuleth Trevino
• Diana Trevizo, LPC-A
• Scott Thomas Trexler, M.D.
• Georgette Ann Trezvant, MSW
• Tri-State Toxicology LLC
• Triad Pharmacy Inc
• Triana Health Services Inc.
• Gisela M Triana, M.D.
• Jose F Triana, MD

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.