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Organization
TRINITY PRIMARY CARE, PLLC
Active
Organization
TRINITY PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALAKRISHNA R PRABHAKAR M.D (MEDICAL DIRECTOR)
(832) 321-3955
Entity
Organization
Contact information
Practice address
1259 FM 1463 RD STE 400, KATY, TX 77494-5480
(832) 321-3955
(832) 321-3953
Mailing address
1259 FM 1463 RD STE 400, KATY, TX 77494-5480
(832) 321-3955
(832) 321-3953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N1075
TX
208000000X
Pediatrics Physician
N1075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N1075
MEDICAL LICENSE
TX
Enumeration date
09/14/2012
Last updated
05/03/2024
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