Organization
TRINITY CLINIC
Active
Parent organization
TRINITY CLINIC
Other names
Trinity Clinic Lindale
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY CLINIC
Authorized official
MARY ANN HARRISON CPC CMC (PROVIDER ENROLLMENT COORDINATOR)
(903) 510-1113
Entity
Organization
Contact information
Practice address
3203 S MAIN ST, LINDALE, TX 75771-7727
(903) 882-0991
(903) 882-7751
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6640
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
09/25/2012
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