TRINITY DIAGNOSTIC CLINIC P.A NPI 1508214222

NPI Information

  • NPI: 1508214222
  • Provider Name: TRINITY DIAGNOSTIC CLINIC, P.A
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Address: 6324 SOUTHERN HILLS DR
    FORT WORTH, TX
    ZIP 76132
  • Phone: (817) 905-2254

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitG7866TEXASYes

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
1123216705MEDICAIDTEXAS
200R31BMEDICARE PIN
3C 20781MEDICARE UPINTEXAS

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: 11/21/2025

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