TRINITY SALEM FAMILY HEALTH CLINIC PLLC NPI 1760119440

NPI Information

  • NPI: 1760119440
  • Provider Name: TRINITY SALEM FAMILY HEALTH CLINIC PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: TRINITY SALEM FAMILY HEALTH CLINIC, PLLC
  • CLIA Number: 45D2278833
  • Address: 1007 LEGACY RANCH RD STE 102
    WAXAHACHIE, TX
    ZIP 75165
  • Phone: (336) 341-9295

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NPI Details

TRINITY SALEM FAMILY HEALTH CLINIC PLLC is a family medicine in Waxahachie, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRINITY SALEM FAMILY HEALTH CLINIC PLLC NPI is 1760119440. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Trinity Salem Family Health Clinic, Pllc.

The provider's business location address is:

1007 LEGACY RANCH RD STE 102
WAXAHACHIE, TX
ZIP 75165-294
Phone: (336) 341-9295

The provider's authorized official is Yaminah Matthews .
The authorized official title is Owner., Authorized Official and has the following contact phone number (972) 666-8111.

The CLIA number assigned to this NPI record is 45D2278833 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2022 and was last updated on 2/24/2023.

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
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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