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TRINITY CLINIC NPI 1366671216


NPI Information

NPI: 1366671216
Provider Name: TRINITY CLINIC

Other Name: TRINITY CLINIC DOUGLAS PRIMARY CARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
520 E DOUGLAS BLVD
TYLER, TX
ZIP 75702
Phone: (903) 593-1721
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TRINITY CLINIC is a multi-specialty clinic center in Tyler, TX. TRINITY CLINIC NPI is 1366671216. The provider is registered as an organization entity type.
The provider Other Name Is Trinity Clinic Douglas Primary Care.

The provider's business location address is:

520 E DOUGLAS BLVD
TYLER, TX
ZIP 75702-307
Phone: (903) 593-1721

The provider's authorized official is Mary Ann Harrison .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number 90351011113.

The enumeration date for this NPI number is 7/13/2009 and was last updated on 4/20/2015.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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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