Trinity Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRINITY CLINIC

Practice address

1327 Troup Hwy
Tyler, TX 75701-4443

Phone

(903) 510-8840

NPI assigned

Feb 19, 2008

Last updated

Apr 20, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

TRINITY CLINICAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Beth Collins, CPC

Title

Provider Enrollment Lead

Phone

(903) 510-1113

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Trinity Clinic Orthopaedics Other name

Part of

Tyler Radiologist

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1013185529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840698",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014443",
            "telephone_number": "903-510-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY CLINIC",
        "enumeration_date": "2008-02-19",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT LEAD",
        "authorized_official_telephone_number": "903-510-1113",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168206402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168206401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Clinic Orthopaedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Molly Trejo, DO
• Thomas J Trese, DO
• Erica Larounda Trim, PTA
• Trincare Inc (TrinCare Clinical Laboratories)
• Trincare Inc (Trinity Optical LLC)
• Trinity Clinic (Trinity Clinic Manhatton)
• Trinity Clinic
• Trinity Clinic
• Trinity Clinic (Trinity Clinic NeuroSurgery)
• Trinity Clinic (Trinity Rehab)

• Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.