Provider Demographics
NPI:1508866005
Name:TREJO, FRANCISCO J (PA)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:J
Last Name:TREJO
Suffix:
Gender:M
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:8820 GATEWAY BLVD N
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-1947
Mailing Address - Country:US
Mailing Address - Phone:915-759-7700
Mailing Address - Fax:915-759-7778
Practice Address - Street 1:7418 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2306
Practice Address - Country:US
Practice Address - Phone:520-731-1110
Practice Address - Fax:520-731-6582
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2019-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2802363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
78642OtherMEDICARE PROVIDER ID
AZ840141Medicaid
AZQ09095Medicare UPIN
78642OtherMEDICARE PROVIDER ID