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Organization
TRINITY CLINIC
Active
Organization
TRINITY CLINIC
Active
Other names
Trinity Clinic Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN HARRISON CPC, CMC (PHYSICIAN CLINIC SUPPORT COORDINATO)
(903) 510-1113
Entity
Organization
Contact information
Practice address
500 N. MARSHALL, HENDERSON, TN 75652
(903) 657-1653
Mailing address
PO BOX 5500, TYLER, TX 75712
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/11/2006
Last updated
07/07/2022
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