# TRINITY FAMILY PRACTICE & URGENT CARE LLC

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

## Provider details

- **NPI number:** 1750869194
- **Authorized official:** MR. JASON PAYNE (PRESIDENT)
- **Authorized official phone:** (432) 238-5076

## Contact information

- **Practice address:** 6110 EASTRIDGE RD, ODESSA, TX 79762-5002
- **Practice address phone:** (432) 238-5076
- **Mailing address:** PO BOX 14925, ODESSA, TX 79768-4925
- **Mailing address phone:** (432) 238-5076

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2018
- **Last updated:** 07/28/2018