Individual ProviderTrevor ColwellInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638(210) 422-2966PECOS EnrollmentBased on the most recent information from CMS, provider Trevor Colwell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1841884988Provider TypeIndividualFull NameColwell, TrevorTitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date3/1/2021Last Updated7/30/2024Contact InformationPractice LocationPractice Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638Phone(210) 422-2966FaxUnlisted FaxMailing LocationMailing Address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseV2045TexasCode171000000XDescriptionMilitary Health Care ProviderOther Service ProvidersLicenseV2045Texas