Organization
TRINCARE INC
Active
Other names
TRINITY OPTICAL - MINEOLA
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS DAVID FAJARDO (PROVIDER ENROLLMENT MANAGER)
(903) 510-1113
Entity
Organization
Contact information
Practice address
908 N PACIFIC ST, MINEOLA, TX 75773-1836
(903) 569-2244
Mailing address
908 N PACIFIC ST, MINEOLA, TX 75773-1836
(903) 569-2244
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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