Provider Demographics
NPI:1932620382
Name:TREJO, ALFREDO JR (OD)
Entity Type:Individual
Prefix:
First Name:ALFREDO
Middle Name:
Last Name:TREJO
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 W TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8070
Mailing Address - Country:US
Mailing Address - Phone:956-661-9000
Mailing Address - Fax:956-661-9881
Practice Address - Street 1:2518 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8070
Practice Address - Country:US
Practice Address - Phone:956-661-9000
Practice Address - Fax:956-661-9881
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9214T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist