TRINITY CLINIC – NPI #1366671216
Clinic/Center

TRINITY CLINIC is an AHC clinic located in TYLER, TX. NPPES has assigned the NPI number 1366671216 to TRINITY CLINIC on July 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. TRINITY CLINIC is also known by the name TRINITY CLINIC DOUGLAS PRIMARY CARE. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 11 years ago on Apr 20, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRINITY CLINIC below.

NPI Profile for
TRINITY CLINIC

NPI Number
1366671216
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRINITY CLINIC
Other Name: TRINITY CLINIC DOUGLAS PRIMARY CARE
Primary location
520 E DOUGLAS BLVD
TYLER, TX 75702-8307
Phone: (903) 593-1721 Fax:
Mailing address
PO BOX 840698
DALLAS, TX 75284-6098
Phone: (903) 324-6400 Fax:
Organization Subpart
Yes - TRINITY CLINIC is subpart of another organization.
Authorized Official
MARY HARRISON
PROVIDER ENROLLMENT COORDINATOR
Phone: 90351011113
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.