# TRINITY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trinity Clinic Henderson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285684258
- **Authorized official:** MARY ANN HARRISON CPC, CMC (PHYSICIAN CLINIC SUPPORT COORDINATO)
- **Authorized official phone:** (903) 510-1113

## Contact information

- **Practice address:** 500 N. MARSHALL, HENDERSON, TN 75652
- **Practice address phone:** (903) 657-1653
- **Mailing address:** PO BOX 5500, TYLER, TX 75712
- **Mailing address phone:** (903) 324-6450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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