Provider Information for 1124652490
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ROBERT ANTHONY TRUJILLO LPC
Sex: Male
NPI: 1124652490
Last Updated: 2024-04-04
Certification Date: 2024-04-04
Certification Date: 2024-04-04
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124652490 | ||||||||||||
| Enumeration Date | 2020-02-26 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 6800 PARK TEN BLVD STE 200S SAN ANTONIO, TX 78213-4293 United States Phone: 210-261-1000 | Fax:210-261-1821 | ||||||||||||
| Primary Practice Address | 6800 PARK TEN BLVD STE 200S SAN ANTONIO, TX 78213-4293 United States Phone: 210-261-1000 | Fax:210-261-1821 | ||||||||||||
| Secondary Practice Address(es) | 200 N COMAL | ||||||||||||
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