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Organization

TRINITY CLINIC

Active
Parent organization
TRINITY CLINIC
Other names
Trinity Clinic Podiatry
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
1034 CLINIC DR, TYLER, TX 75701-2050
(903) 596-9173
(903) 592-1684
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
261Q00000X
Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
02/19/2008
Last updated
09/25/2012
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