Organization
CHRISTUS TRINITY CLINIC
Active
Other names
Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KARL CPA, MPA (VP, CFO)
(469) 282-2611
Entity
Organization
Contact information
Practice address
3593 E GRANDE BLVD, TYLER, TX 75707-1400
(903) 839-2585
(903) 595-3005
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
07/11/2022
Last updated
08/02/2022
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