Organization
TRINITY HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BRAZELL (COO)
(310) 619-3491
Entity
Organization
Contact information
Practice address
13101 PRESTON RD STE 425, DALLAS, TX 75240-5278
(310) 619-3491
Mailing address
13101 PRESTON RD STE 200, DALLAS, TX 75240-5220
(310) 619-3491
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
06/08/2022
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