CHRISTUS TRINITY CLINIC (NPI# 1285684225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285684225 |
| Entity Type | Organization |
| Organization Name | CHRISTUS TRINITY CLINIC |
| Other Organization Name | CHRISTUS TRINITY CLINIC |
| Practice Address |
520 Douglas Blvd Tyler TX 75702-8307 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035101113 |
| Practice Fax Number | 9035251566 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | ARIEN F KOLOC (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 9036145383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138737510 | 05 | |
| TX | 138737533 | 05 | |
| TX | 138737536 | 05 | |
| TX | 141835201 | 05 | |
| TX | 168206402 | 05 | |
| TX | 138737529 | 05 | |
| TX | 138737531 | 05 | |
| TX | 138737534 | 05 | |
| TX | 138737535 | 05 | |
| TX | 177294903 | 05 | |
| TX | 063685402 | 05 | |
| TX | 138737522 | 05 | |
| TX | 138737524 | 05 | |
| TX | 138737511 | 05 | |
| TX | 138737527 | 05 | |
| TX | 138737504 | 05 | |
| TX | 138737506 | 05 | |
| TX | 138737528 | 05 | |
| TX | 138737530 | 05 | |
| TX | 138737532 | 05 | |
| TX | THSTEPS-WHITEHOUSE | 141838601 | 01 |
| TX | PALMETTO DME-KILGORE | 1091520016 | 01 |
| TX | 138737521 | 05 |
| Other Name | Type Code |
|---|---|
| CHRISTUS TRINITY CLINIC | Doing Business As Name - Organization |
| Trinity Clinic | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 E Bert Kouns Industrial Loop Ste 100, Shreveport, LA 711055647 | 3186814319 | 3186815351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033641105 | Christus Trinity Clinic | Clinic/Center | 650 E Lennon Dr, Emory, TX 75440-3227 | 2017-03-29 |
| 1942732011 | Christus Trinity Clinic | Clinic/Center | 105 Medical Plz # II, Sulphur Springs, TX 75482-2136 | 2017-03-29 |
| 1275727125 | Christus Trinity Clinic | Clinic/Center | 1302 N Pacific St, Mineola, TX 75773-1022 | 2007-09-04 |
| 1396939146 | Christus Trinity Clinic | Clinic/Center | 5321 S Fm 14, Hawkins, TX 75765-4839 | 2007-09-04 |
| 1134313083 | Christus Trinity Clinic | Clinic/Center | 18780 Interstate 20, Canton, TX 75103-3593 | 2007-09-04 |
| 1497949341 | Christus Trinity Clinic | Clinic/Center | 502 E Goode St Ste 1e, Quitman, TX 75783-2539 | 2007-09-04 |
| Street Address |
520 DOUGLAS BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197342 | Jean Rene Yates-halbert | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2005-07-08 |
| 1316555220 | Sherry Mathew | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2020-07-16 |
| 1407487549 | Rosie M Niebuhr | Social Worker | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2020-01-28 |
| 1366899288 | Jeta Laurie Bowman | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702 | 2016-05-20 |
| 1679944946 | Laura Beth Sheets | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-10-13 |
| 1134596554 | Barakha Yadav Silvia | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-09-02 |
| 1184009565 | Alyssa Laurich | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-07-27 |
| 1285030981 | Kerri Martin | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-11-07 |
| 1710395819 | Maria Diaz | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-08-01 |
| 1487072120 | Katie Storrs | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315499 | East Texas Family Support Clinic | Clinic/Center | 1305 Doctors Dr, Tyler, TX 75701-2263 | 2020-01-09 |
| 1497992846 | Cardiac Cath Lab of Tyler Lp | Clinic/Center | 1769 Troup Hwy, Tyler, TX 75701 | 2009-01-07 |
| 1851839120 | Trinity Clinic | Clinic/Center | 3593 E Grande Blvd, Tyler, TX 75707-1400 | 2017-02-07 |
| 1366671216 | Trinity Clinic | Clinic/Center | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2009-07-13 |
| 1366680217 | Trinity Clinic | Clinic/Center | 910 E Houston St, Ste 330, Tyler, TX 75702-8368 | 2009-01-30 |
| 1659516086 | Trinity Clinic | Clinic/Center | 910 E Houston St, Ste 550, Tyler, TX 75702-8366 | 2008-12-15 |
| 1487807277 | Trinity Clinic | Clinic/Center | 3131 Troup Hwy, Tyler, TX 75701-8350 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1669086963 | Cl Haven Enterprises | Clinic/Center | 4443 Loop 322, Abilene, TX 79602-8056 | 2020-09-03 |
| 1689292773 | Crossover Health Medical Group | Clinic/Center | 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | 2020-07-06 |
| 1053939140 | Crossover Health Medical Group | Clinic/Center | 215 W Camp Wisdom Rd Ste 11, Duncanville, TX 75116-3342 | 2020-07-06 |
| 1598380271 | Hanson Discovery Group LLC | Clinic/Center | 6002 Lofty Ln, Spring, TX 77379-5087 | 2020-06-09 |
| 1770107856 | Vascular Institute of Houston Pllc | Clinic/Center | 815 Brazos St Ste 500, Austin, TX 78701-2509 | 2020-06-03 |
| 1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.