Provider Demographics
NPI:1780737098
Name:MANUEL THOMAS TRIGO
Entity type:Organization
Organization Name:MANUEL THOMAS TRIGO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:TOMAS
Authorized Official - Last Name:TRIGO
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:713-524-0505
Mailing Address - Street 1:2045 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3423
Mailing Address - Country:US
Mailing Address - Phone:956-686-1670
Mailing Address - Fax:713-524-0504
Practice Address - Street 1:2045 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3423
Practice Address - Country:US
Practice Address - Phone:956-686-1670
Practice Address - Fax:713-524-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800228341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance