Trinity Clinic

NPI #1255582086 in Tyler, Texas

Provider Information

NPI Number: 1255582086
Entity Type: Organization
Organization Name: Trinity Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: TRINITY CLINIC
Primary Specialty: Clinic/Center
Enumeration Date: Oct 10, 2008
Last Updated: Sep 25, 2012

Practice Location

Address: 3802 MANHATTON DR
City: Tyler
State: Texas
ZIP Code: 75701-9451
Phone: (903) 509-8888

Authorized Official

Name: MARY ANN HARRISON, CPC CMC
Title: PHYSICIAN CLINIC SUPPORT COORDINATO
Phone: (903) 510-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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