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Organization

TRINITY CLINIC SURGERY

Active
Find providers by NPI
Organization

TRINITY CLINIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ANN HARRISON CMC, CPC (PHYSICIAN CLINIC SUPPORT COORDINATO)
(903) 510-1113
Entity
Organization

Contact information

Practice address
910 E HOUSTON ST STE 550, TYLER, TX 75702-8366
(903) 592-7393
(903) 597-7538
Mailing address
PO BOX 5500, TYLER, TX 75712
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
Primary
—
NULL
231H00000X
Audiologist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T69U
MEDICARE GROUP NUMBER
TX
Enumeration date
09/11/2006
Last updated
09/11/2025
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