Organization
TRINITY CLINIC
Active
Other names
Trinity Clinic Lake Cypress Springs
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN HARRISON CPC, CMC (PHYSICIAN CLINIC SUPPORT COORDINATO)
(903) 510-1113
Entity
Organization
Contact information
Practice address
175 SPUR 3007, SCROGGINS, TX 75480-6403
(903) 860-3720
(903) 860-3771
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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