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Organization

CHRISTUS TRINITY CLINIC

Active
Other names
CHRISTUS TRINITY CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT KARL (CFO)
(469) 282-2611
Entity
Organization

Contact information

Practice address
520 DOUGLAS BLVD, TYLER, TX 75702-8307
(903) 315-4119
(903) 525-1566
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207Q00000X
Family Medicine Physician
Primary
207QA0505X
Adult Medicine Physician
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RR0500X
Rheumatology Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician
207SG0201X
Clinical Genetics (M.D.) Physician
207T00000X
Neurological Surgery Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
261QM1300X
Multi-Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063685402
TX
01
1091520016
PALMETTO DME-KILGORE
TX
05
138737504
TX
05
138737506
TX
05
138737510
TX
05
138737511
TX
05
138737521
TX
05
138737522
TX
05
138737524
TX
05
138737527
TX
05
138737528
TX
05
138737529
TX
05
138737530
TX
05
138737531
TX
05
138737532
TX
05
138737533
TX
05
138737534
TX
05
138737535
TX
05
138737536
TX
05
141835201
TX
01
141838601
THSTEPS-WHITEHOUSE
TX
05
168206402
TX
05
177294903
TX
Enumeration date
05/11/2006
Last updated
04/24/2024
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