Provider Demographics
NPI:1003241837
Name:INSULIN ROUNDS P A
Entity Type:Organization
Organization Name:INSULIN ROUNDS P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FERNANDO
Authorized Official - Last Name:TRIGOSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-862-5506
Mailing Address - Street 1:12951 HUEBNER RD
Mailing Address - Street 2:#780355
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-7801
Mailing Address - Country:US
Mailing Address - Phone:210-862-5506
Mailing Address - Fax:
Practice Address - Street 1:12951 HUEBNER RD
Practice Address - Street 2:#780355
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78278-7801
Practice Address - Country:US
Practice Address - Phone:210-862-5506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty