MR. JESSE TREVINO (NPI# 1639340144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639340144 |
| Entity Type | Individual |
| Full Name | MR. JESSE TREVINO |
| Credential | PA-C |
| Practice Address |
401 W Centerville Rd Ste 1 Garland TX 75041-5400 |
| Mailing Address |
3001 Lafayette Dr Rowlett TX 75088-1807 |
| Practice Telephone | 9728406500 |
| Practice Fax Number | 9728406550 |
| Mailing Telephone | 9729654454 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2019-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00316 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1629201918 | Jesse H Trevino | Counselor | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2009-09-02 |
| Street Address |
401 W CENTERVILLE RD STE 1 |
| City | GARLAND |
| State | TX |
| Zip Code | 75041-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778400 | Norma Alejandra Hernandez | Counselor | 401 W Centerville Rd Ste 1, Garland, TX 75041-5400 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984922 | Vitora Ventures Inc | Pharmacy | 138 W. Centerville Rd # 100, Garland, TX 75041 | 2020-05-20 |
| 1699095620 | Bevan Wayne Heaton | Dentist | 1501 W. Miller Road, Suite 180, Garland, TX 75041 | 2010-06-01 |
| 1649592064 | Yuenan Shen | Pathology | 1918 E Miller Rd, Suite 101, Garland, TX 75041 | 2010-02-26 |
| 1417105271 | Laura Beth Ackerman | Speech-Language Pathologist | 2625 Anita Dr., Garland, TX 75041 | 2008-09-05 |
| 1760522031 | South First Dental,pc | Dentist | 3109 South First Street, Garland, TX 75041 | 2007-02-07 |
| 1396840328 | Jane Elizabeth Williamson | Counselor | 629 W Centerville, Suite 205, Garland, TX 75041 | 2006-09-14 |
| 1902900038 | Michael Allen Musso | Dentist | 513 W Centerville Road, Garland, TX 75041 | 2006-09-11 |
| 1538263652 | Musso Family Dentistry | Dentist | 513 West Centerville Rd, Garland, TX 75041 | 2006-09-11 |
| 1285738534 | Robert Rushing Jr. | Audiologist | 2625 Anita, Garland, TX 75041 | 2006-09-08 |
| 1932203288 | Kristi Amyx | Occupational Therapist | 2625 Anita Dr, Garland, TX 75041 | 2006-09-08 |
| Find all providers in zip 75041 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032355 | Matthew Wainwright | Physician Assistant | 7026 Christina Ln, Garland, TX 75043-6617 | 2018-11-21 |
| 1477827087 | Dipesh Ramesh Rana | Physician Assistant | 5025 Glen Vista Dr, Garland, TX 75044-5511 | 2012-02-28 |
| 1437475514 | Mark Urish | Physician Assistant | 3050 S 1st St Ste 209, Garland, TX 75041-3442 | 2010-04-14 |
| 1396102240 | Kimberly Gayle Anand | Physician Assistant | 7145 N George Bush Hwy, Garland, TX 75044-2988 | 2016-01-23 |
| 1639574395 | Mahnaz Shambayati | Physician Assistant | 7145 N George Bush Hwy, Garland, TX 75044-2988 | 2014-10-23 |
| 1144647140 | Sanam Zaidi | Physician Assistant | 3465 W Walnut St, #225, Garland, TX 75042-7153 | 2014-03-27 |
| 1750603569 | Smitha Susan Thankachan | Physician Assistant | 565 W I 30, Garland, TX 75043-5702 | 2010-02-20 |
| 1770710964 | David Roodhuyzen | Physician Assistant | 2300 Marie Curie Dr, Emergency Department, Garland, TX 75042-5706 | 2009-06-16 |
| 1184712499 | Cynthia Chernyakhovsky | Physician Assistant | 700 Walter Reed Blvd, Suite 311, Garland, TX 75042-3701 | 2006-10-11 |
| 1811081490 | Maria Esther Solares | Physician Assistant | 2636 W Walnut St, Garland, TX 75042 | 2006-10-03 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.