Organization
TRINITY HEALTHCARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTHONIEL NATHAN PINEDA (MEMBER)
(817) 687-8014
Entity
Organization
Contact information
Practice address
761 S MARINE CORPS DR # DRIVE110, TAMUNING, GU 96913-3523
(817) 687-8014
Mailing address
6040 CAMP BOWIE BLVD STE 24, FORT WORTH, TX 76116-5602
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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