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Organization

TRINITY CLINIC

Active
Parent organization
TRINITY CLINIC
Other names
TRINITY CLINIC HENDERSON 2
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRINITY CLINIC
Authorized official
MARY ANN HARRISON CPC, CMC (PHYSICIAN CLINIC SUPPORT COORDINATO)
(903) 510-1113
Entity
Organization

Contact information

Practice address
511 N HIGH ST, HENDERSON, TX 75652-5985
(903) 657-7583
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131500
SUPERIOR HEALTH
TX
05
177294901
TX
Enumeration date
09/04/2007
Last updated
04/20/2015
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