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TRINITY CLINIC NPI 1356391734


NPI Information

NPI: 1356391734
Provider Name: TRINITY CLINIC

Other Name: TRINITY CLINIC SURGERY

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
910 E HOUSTON ST
STE 530
TYLER, TX
ZIP 75702
Phone: (903) 592-7393
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TRINITY CLINIC is a thoracic surgery cardiothoracic vascular surgery in Tyler, TX. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. TRINITY CLINIC NPI is 1356391734. The provider is registered as an organization entity type.
The provider Other Name Is Trinity Clinic Surgery.

The provider's business location address is:

910 E HOUSTON ST
STE 530
TYLER, TX
ZIP 75702-366
Phone: (903) 592-7393

The provider's authorized official is Mary Ann Harrison .
The authorized official title is Physician Clinicsupport Coordinator and has the following contact phone number (903) 510-1113.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 9/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100T69UMEDICARE ID-TYPE UNSPECIFIEDTEXAS
2138737511MEDICAIDTEXAS
31091520009MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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