Organization
BRETT W. HANNA
Active
Other names
Trinity Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY HANNA (BILLING)
(936) 594-5460
Entity
Organization
Contact information
Practice address
110 E BRANTLEY RD STE 6, BOX 2177, TRINITY, TX 75862-2177
(936) 594-5460
(936) 594-9082
Mailing address
PO BOX 2177, 110 E. BRANTLEY, STE. 6, TRINITY, TX 75862-2177
(936) 594-5460
(936) 594-9082
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011023101
—
TX
05
—
016993001
—
TX
01
—
530548
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
03/17/2006
Last updated
05/22/2013
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