Provider Demographics
NPI:1053764134
Name:DONALD TRILLOS MD PA
Entity type:Organization
Organization Name:DONALD TRILLOS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:TRILLOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-455-6070
Mailing Address - Street 1:13111 EAST FWY
Mailing Address - Street 2:STE 217
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-5803
Mailing Address - Country:US
Mailing Address - Phone:713-455-6070
Mailing Address - Fax:713-455-6466
Practice Address - Street 1:13111 EAST FWY STE 217
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5819
Practice Address - Country:US
Practice Address - Phone:713-455-6070
Practice Address - Fax:713-455-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5968207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty