TRINITY CLINIC (NPI# 1922276435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922276435 |
| Entity Type | Organization |
| Organization Name | TRINITY CLINIC |
| Other Organization Name | TRINITY CLINIC PODIATRY |
| Practice Address |
1034 Clinic Dr Tyler TX 75701-2050 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035969173 |
| Practice Fax Number | 9035921684 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MARY ANN HARRISON (PHYSICIAN CLINIC SUPPORT COORDINATO) |
| Authorized Official Telephone | 9035101113 |
| Authorized Official Credential | CPC CMC |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Trinity Clinic Podiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982936936 | Trinity Clinic | Clinic/Center | 500 N Marshall St, Henderson, TX 75652-5932 | 2010-02-02 |
| 1982859377 | Trinity Clinic | Clinic/Center | 803 Hwy 31 East, Chandler, TX 75758-0373 | 2008-11-26 |
| 1942455654 | Trinity Clinic | Clinic/Center | 1505 Hwy 19 South, Athens, TX 75751-8950 | 2008-11-21 |
| 1144493107 | Trinity Clinic | Clinic/Center | 866 E. Lennon Dr, Ste 105, Emory, TX 75440-3214 | 2008-04-10 |
| 1427245166 | Trinity Clinic | Clinic/Center | 175 Spur 3007, Scroggins, TX 75480-6403 | 2007-09-26 |
| 1760676613 | Trinity Clinic | Clinic/Center | 511 N High St, Henderson, TX 75652-5985 | 2007-09-04 |
| 1174742902 | Trinity Clinic | Chiropractor | 4236 Nw Expressway St, Suite 118, Oklahoma City, OK 73116-1588 | 2007-04-24 |
| 1861618779 | Trinity Clinic | Clinic/Center | 307 Woodlawn, Kilgore, TX 75662-3624 | 2007-04-18 |
| 1558399592 | Trinity Clinic | Anesthesiology | 800 East Dawson St, Tyler, TN 75701 | 2006-06-29 |
| 1659322733 | Trinity Clinic | Psychiatry & Neurology | 3300 S. Broadway, Suite 102, Tyler, TN 75701 | 2006-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRINITY CLINICAL CONSULTING GROUP, LLC | 285 S Englewood Dr, Baton Rouge, LA 70810-5004 |
| Street Address |
1034 CLINIC DR |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245319334 | Barbara Ryno Davidson Md Pa | Clinic/Center | 1100 E Lake St Ste 340, Tyler, TX 75701-3359 | 2006-11-02 |
| 1356892277 | Christus Trinity Clinic - Cardiology | Clinic/Center | 703 S Fleishel Ave, Suite 4000, Tyler, TX 75701-2015 | 2016-10-14 |
| 1023371804 | Clifford D. Mullins, D.c., P.C. | Clinic/Center | 14653 Eastside Rd, Tyler, TX 75707-6729 | 2012-06-18 |
| 1104120989 | Trincare Inc | Clinic/Center | 1327 Troup Hwy, Suite C, Tyler, TX 75701-4443 | 2011-01-07 |
| 1609003532 | Guevara Enterprises Inc. | Clinic/Center | 1819 Troup Hwy, Tyler, TX 75701-5870 | 2009-06-18 |
| 1255582086 | Trinity Clinic | Clinic/Center | 3802 Manhatton Dr, Tyler, TX 75701-9451 | 2008-10-10 |
| 1770613945 | James H Demberg Md Pa | Clinic/Center | 1810 Shiloh Rd, Suite # 501, Tyler, TX 75703-2419 | 2007-03-06 |
| 1356391734 | Trinity Clinic | Clinic/Center | 910 E Houston St, Ste 530, Tyler, TX 75702-8366 | 2006-05-10 |
| 1376540096 | Dehaven Cataract Surgical Center,inc | Clinic/Center | 1424 East Front, Tyler, TX 75702-8501 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558826 | Mercy Clinic | Clinic/Center | 951 Tristar Dr, Webster, TX 77598-1536 | 2020-11-03 |
| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| 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.