Trinity Clinic

NPI #1013185529 in Tyler, Texas

Provider Information

NPI Number: 1013185529
Entity Type: Organization
Organization Name: Trinity Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: TRINITY CLINIC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 19, 2008
Last Updated: Apr 20, 2015

Practice Location

Address: 1327 TROUP HWY
City: Tyler
State: Texas
ZIP Code: 75701-4443
Phone: (903) 510-8840

Authorized Official

Name: AMY BETH COLLINS, CPC
Title: PROVIDER ENROLLMENT LEAD
Phone: (903) 510-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Orthopaedic Surgery	207X00000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Clinic/Center	261Q00000X	Primary

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