Christus Trinity Clinic
Clinic/Center, Rural Health in Sulphur Springs, TX. Organization (NPI-2).
NPI number1942732011
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1942732011
- Entity type
- Organization (NPI-2)
- Legal business name
- Christus Trinity Clinic
- Organization subpart
- No
- Enumeration date
- Mar 29, 2017
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Christus Trinity Clinic (Doing Business As)
Practice location
105 Medical Plz # IISulphur Springs, TX 75482-2136
Phone 903-885-3181 · Fax 903-885-1329
Mailing address
520 E Douglas BlvdTyler, TX 75702-8307
Phone 903-593-1721 · Fax 903-606-4553
Authorized official
Steven P Keuer
President/Cmo
9036064445
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