Trincare INC

NPI #1902385487 in Mineola, Texas

Provider Information

NPI Number: 1902385487
Entity Type: Organization
Organization Name: Trincare INC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 908 N PACIFIC ST
City: Mineola
State: Texas
ZIP Code: 75773-1836
Phone: (903) 569-2244

Authorized Official

Name: ELIAS DAVID FAJARDO
Title: PROVIDER ENROLLMENT MANAGER
Phone: (903) 510-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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