# TRINITY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRINITY CLINIC FAMILY PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922058304
- **Authorized official:** LYNDA KAYE TIPPIT (SUPERVISOR, CENTRAL CRED)
- **Authorized official phone:** (903) 531-5185

## Contact information

- **Practice address:** 520 EAST DOUGLAS, TYLER, TX 75702
- **Practice address phone:** (903) 531-5185
- **Mailing address:** PO BOX 5500, TYLER, TX 75712-5500
- **Mailing address phone:** (903) 324-6450

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 08/22/2020