TRINITY DIAGNOSTIC CLINIC P.A NPI 1508214222

NPI Information

TRINITY DIAGNOSTIC CLINIC, P.A is a medicare defined swing bed unit in Fort Worth, TX. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. TRINITY DIAGNOSTIC CLINIC, P.A NPI is 1508214222. The provider is registered as an organization entity type.

The provider's business location address is:

6324 SOUTHERN HILLS DR
FORT WORTH, TX
ZIP 76132-485
Phone: (817) 905-2254

The provider's authorized official is Kosuri B Raju .
The authorized official title is President and has the following contact phone number (817) 905-2254.

The enumeration date for this NPI number is 6/3/2016 and was last updated on 6/3/2016.

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:

Other Identifiers

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

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