# TRINITY SALEM FAMILY HEALTH CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRINITY SALEM FAMILY HEALTH CLINIC, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760119440
- **Authorized official:** MRS. YAMINAH MATTHEWS APRN, FNP-BC (OWNER., AUTHORIZED OFFICIAL)
- **Authorized official phone:** (972) 666-8111

## Contact information

- **Practice address:** 1007 LEGACY RANCH RD STE 102, WAXAHACHIE, TX 75165-1294
- **Practice address phone:** (336) 341-9295
- **Mailing address:** 1007 LEGACY RANCH RD STE 102, WAXAHACHIE, TX 75165-1294
- **Mailing address phone:** (972) 666-8111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 02/24/2023