Provider Demographics
NPI:1942337019
Name:TREJO, PEDRO M (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:M
Last Name:TREJO
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2600 S GESSNER RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3200
Mailing Address - Country:US
Mailing Address - Phone:713-785-4867
Mailing Address - Fax:713-785-1191
Practice Address - Street 1:2600 S GESSNER RD
Practice Address - Street 2:SUITE 304
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3200
Practice Address - Country:US
Practice Address - Phone:713-785-4867
Practice Address - Fax:713-785-1191
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX190951223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics