Active NPI
Jaime Trevino, MD
- Family Medicine Physician
- Eagle Pass, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H8872
- Practice address
- 3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5148 - Phone
- (830) 773-5321
- Fax
- (830) 872-2948
- NPI assigned
- Jun 30, 2006
- Last updated
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | H8872 | TX | |
| Family Medicine Physician | 207Q00000X | H8872 | TX | Primary |
Addresses
Primary practice location
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5148
Mailing address
2314 Ruby Oaks
San Antonio, TX 78232-5600
Phone (210) 545-4687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H8872 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Medical Center | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Maverick Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Comanche County Medical Center Company | Current | Accepting new patients | |
| Comanche County Medical Center Company | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Texas Emergency Room Services, PA | Emergency Medicine | Past | Accepting new patients |
| Step Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Texas Emergency Room Services PA | Emergency Medicine | Past | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700
200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Comanche, TX
- NPI 1346544616
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Emergency Medicine Physician
- Eagle Pass, TX
- NPI 1306806781
-
dba Rising Star Pharmacy
- Community/Retail Pharmacy
- Rising Star, TX
- NPI 1679174882
-
- Surgery Physician
- Port Lavaca, TX
- NPI 1104203181
-
- Critical Access Hospital
- Port Lavaca, TX
- NPI 1689630865
-
- Emergency Medicine Physician
- Floresville, TX
- NPI 1609826460
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
-
- Emergency Medicine Physician
- Hondo, TX
- NPI 1275584781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1811926306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 RUBY OAKS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782325600",
"telephone_number": "210-545-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 N FOSTER MALDONADO BLVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788525148",
"telephone_number": "830-773-5321",
"fax_number": "830-872-2948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "JAIME",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "H8872",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H8872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.