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TRINITY CLINIC NPI 1255582086


NPI Information

NPI: 1255582086
Provider Name: TRINITY CLINIC

Doing Business As: TRINITY CLINIC MANHATTON

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3802 MANHATTON DR
TYLER, TX
ZIP 75701
Phone: (903) 509-8888
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TRINITY CLINIC is a clinic center in Tyler, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TRINITY CLINIC NPI is 1255582086. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Clinic Manhatton.

The provider's business location address is:

3802 MANHATTON DR
TYLER, TX
ZIP 75701-451
Phone: (903) 509-8888
Fax: (903) 509-8880

The provider's authorized official is Mary Ann Harrison .
The authorized official title is Physician Clinic Support Coordinato and has the following contact phone number (903) 510-1113.

The enumeration date for this NPI number is 10/10/2008 and was last updated on 9/25/2012.


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
1261Q00000XClinic/CenterYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11091520015MEDICARE NSCTEXAS

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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