Organization
TRINITY CLINIC
Active
Parent organization
TRINITY CLINIC
Other names
TRINITY CLINIC SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY CLINIC
Authorized official
MARY ANN HARRISON (PHYSICIAN CLINICSUPPORT COORDINATOR)
(903) 510-1113
Entity
Organization
Contact information
Practice address
910 E HOUSTON ST, STE 530, TYLER, TX 75702-8366
(903) 592-7393
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
TX
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138737511
—
TX
Enumeration date
05/10/2006
Last updated
09/17/2008
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