Fernando Trujillo
Ophthalmologist
999 E Basse Rd Ste 103
San Antonio
, Texas 78209-1802
Fernando Trujillo
Ophthalmologist
999 E Basse Rd Ste 103
San Antonio
, Texas 78209-1802
(210) 599-6622
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Fernando Trujillo
- 999 E Basse Rd Ste 103
- San Antonio, TX
- Zip : 78209-1802
- Fax : (210) 599-6622
- Phone : (210) 538-2020
Second Address
- Fernando Trujillo
- 999 E Basse Rd Ste 103
- San Antonio, TX
- Zip : 78209-1802
- Fax : (210) 599-6622
- Phone : (210) 538-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | L7233 | TX |
National Provider Identifier
| NPI | 1033115647 |
|---|---|
| Provider Name | Fernando Trujillo |
| First Address | San Antonio, TX 78209-1802 |
| Second Address | San Antonio, TX 78209-1802 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 02/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 165798303 | (05) | TX |
| 522957ZV6Y | MEDICARE PTAN (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.