# TRINITY HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265992804
- **Authorized official:** BEN JUAREZ (MANAGER)
- **Authorized official phone:** (469) 296-9909

## Contact information

- **Practice address:** 507 N HIGHWAY 77 STE 902, WAXAHACHIE, TX 75165-1891
- **Practice address phone:** (469) 296-9909
- **Mailing address:** 507 N HIGHWAY 77 STE 902, WAXAHACHIE, TX 75165-1891
- **Mailing address phone:** (469) 296-9909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/20/2019
- **Last updated:** 03/20/2019