CHRISTUS TRINITY CLINIC – NPI #1285684225
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CHRISTUS TRINITY CLINIC is a provider located in TYLER, TX. NPPES has assigned the NPI number 1285684225 to CHRISTUS TRINITY CLINIC on May 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 2 years ago on Apr 24, 2024. 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 CHRISTUS TRINITY CLINIC below.

NPI Profile for
CHRISTUS TRINITY CLINIC

NPI Number
1285684225
Enumeration Date

(more than 20 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
CHRISTUS TRINITY CLINIC
Doing Business As (dba): CHRISTUS TRINITY CLINIC
Primary location
520 DOUGLAS BLVD
TYLER, TX 75702-8307
Phone: (903) 315-4119 Fax: (903) 525-1566
1 Other location(s):
1400 E Bert Kouns Industrial Loop Ste 100
Shreveport, LA 71105-5647
Phone: (318) 681-4319
Fax: (318) 681-5351
Mailing address
PO BOX 846098
DALLAS, TX 75284-6098
Phone: (903) 324-6450 Fax:
Organization Subpart
No
Authorized Official
ROBERT KARL
CFO
Phone: (469) 282-2611
Updated
Certification Date
Apr 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHRISTUS TRINITY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherPALMETTO DME-KILGORETX1091520016
otherTHSTEPS-WHITEHOUSETX141838601
medicaidTX138737506
medicaidTX138737528
medicaidTX138737532
medicaidTX138737533
medicaidTX138737522
medicaidTX138737527
medicaidTX138737534
medicaidTX138737535
medicaidTX177294903
medicaidTX063685402
medicaidTX138737504
medicaidTX138737510
medicaidTX138737529
medicaidTX138737511
medicaidTX138737521
medicaidTX138737524
medicaidTX138737530
medicaidTX138737531
medicaidTX138737536
medicaidTX141835201
medicaidTX168206402
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.

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.