Active NPI
Mid Coast Medical Center - Trinity
Doing business as Mid Coast Medical Clinic- Trinity
- Family Medicine Physician
- Trinity, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MID COAST MEDICAL CENTER - TRINITY
- Doing business as
- Mid Coast Medical Clinic- Trinity
- Practice address
- 315 Prospect Dr
Trinity, TX 75862-6202 - Phone
- (936) 744-1400
- Fax
- (817) 231-0367
- NPI assigned
- Jan 14, 2025
- Last updated
- Jan 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David H Mak
- Title
- Cfo
- Phone
- (713) 569-7370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
315 Prospect Dr
Trinity, TX 75862-6202
Mailing address
303 Sandy Corner Rd
El Campo, TX 77437-9844
Phone (979) 543-6251
Other names 1
- Mid Coast Medical Clinic- Trinity
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- Trinity, TX
- NPI 1295442713
O20250107004246
National Provider Directory
National Provider Directory- Tax ID family
- Mid Coast Med Ctr - Trinity
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Trinity, TX
- NPI 1295442713
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Trinity, TX
- NPI 1164041141
-
- Family Medicine Physician
- Trinity, TX
- NPI 1144252800
-
- Cardiovascular Disease Physician
- El Campo, TX
- NPI 1144315417
-
- Internal Medicine Physician
- El Campo, TX
- NPI 1518921790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1003627712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 SANDY CORNER RD",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774379844",
"telephone_number": "979-543-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 PROSPECT DR",
"city": "TRINITY",
"state": "TX",
"postal_code": "758626202",
"telephone_number": "936-744-1400",
"fax_number": "817-231-0367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID COAST MEDICAL CENTER - TRINITY",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "MAK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "713-569-7370"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mid Coast Medical Clinic- Trinity",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trinity, TX
- Liberty County Hospital District No. 1 (River Pointe of Trinity Healthcare and Rehabilitation Center)
- Lifechek Trinity LLC (Lifechek)
- Martin Senior Citizens Center, Inc.
- Martin Senior Service Center, Inc.
- Mid Coast Health System (Mid Coast Medical Center - Trinity)
- Mid Coast Medical Center - Trinity
- Lindsey Grace Mitchell, OT
- Edward William Nestor, D.D.S., P.A.
- Our Inspiration
- Laurice Pare, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.