Provider Type Icon

TRINITY FAMILY MEDICINE CLINIC LLC NPI 1164658332


NPI Information

NPI: 1164658332
Provider Name: TRINITY FAMILY MEDICINE CLINIC LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1098290

Address:
6601 BLANCO RD
SUITE 100
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 541-0018
Get Directions

TRINITY FAMILY MEDICINE CLINIC LLC is a family medicine in San Antonio, 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 FAMILY MEDICINE CLINIC LLC NPI is 1164658332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6601 BLANCO RD
SUITE 100
SAN ANTONIO, TX
ZIP 78216-102
Phone: (210) 541-0018
Fax: (210) 541-0024

The provider's authorized official is Juan Pena Velazquez .
The authorized official title is Provider and has the following contact phone number (210) 541-0018.

The CLIA number assigned to this NPI record is 45D1098290 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/2/2009 and was last updated on 8/26/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineN1488TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10A4963MEDICARE PIN
2333635601MEDICAIDTEXAS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.