# HEBRON PHYSICAL MEDICINE PC

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- **Entity:** Organization
- **Status:** Inactive
- **Other names:** Trinity Integrated Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144760364
- **Authorized official:** DANIELLE PECK (OFFICE MANAGER)
- **Authorized official phone:** (972) 478-5538

## Contact information

- **Practice address:** 1629 W HEBRON PKWY, CARROLLTON, TX 75010-6334
- **Practice address phone:** (972) 478-5538
- **Practice address fax:** (972) 820-7177
- **Mailing address:** 1629 W HEBRON PKWY, CARROLLTON, TX 75010-6334
- **Mailing address phone:** (972) 478-5538
- **Mailing address fax:** (972) 820-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 7350 | TX | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2017
- **Last updated:** 11/16/2022