Organization · Type 2 NPI

Trinity Clinic

Multi-Specialty Clinic/Center · Tyler, TX

NPI number 1659516086 Active

Practice location

910 E Houston St, Ste 550
Tyler, TX 75702-8366

Call (903) 592-7393 Map

Mailing address

PO Box 846098
Dallas, TX 75284-6098

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

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NPI record

NPI: 1659516086
Entity type: Organization (Type 2)
Issued: Dec 15, 2008
Last updated: Sep 25, 2012
Status: Active
Subpart: Yes of Trinity Clinic

Other names

<unavail>
Trinity Clinic Surgery · doing business as

Authorized official

Mary Ann Harrison, CPC CMC
Physician Clinic Support Coordinato
(903) 510-1113

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About NPI 1659516086

Trinity Clinic's National Provider Identifier is 1659516086, issued on Dec 15, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Tyler, TX. The record was last updated on Sep 25, 2012.