Organization
TRINITY COLON AND RECTAL SURGERY CLINIC, PA
Active
Other names
Trinity Colonrectal
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SAMUEL HACKETT M.D. (PRESIDENT)
(937) 422-3186
Entity
Organization
Contact information
Practice address
8067 WEST VIRGINIA DRIVE, DALLAS, TX 75237
(972) 709-9300
(972) 709-9307
Mailing address
8067 WEST VIRGINIA DRIVE, DALLAS, TX 75237
(972) 709-9300
(972) 709-9307
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
N2543
TX
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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