Trinity Clinic
Clinic/Center, Multi-Specialty in Flint, TX. Organization (NPI-2).
NPI number1528297983
StatusActive
Last updated in NPPESSep 25, 2012
Details
- NPI
- 1528297983
- Entity type
- Organization (NPI-2)
- Legal business name
- Trinity Clinic
- Organization subpart
- Yes
- Enumeration date
- Jul 7, 2009
- Last updated
- Sep 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Trinity Clinic Lake Palestine (Doing Business As)
Practice location
20208 State Highway 155 SFlint, TX 75762-5600
Phone 903-825-6222
Mailing address
Po Box 846098Dallas, TX 75284-6098
Phone 903-324-6400
Authorized official
Mary Ann Harrison
Provider Enrollment Coordinator
9035101113
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