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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
908 N PACIFIC ST, MINEOLA, TX 75773-1836
(903) 569-9944
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450

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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