Active NPI
Trinitas Medical Professionals
- Orthopaedic Surgery Physician
- Hurst, TX
National Provider Identifier
1144741208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- DOH3398TX
- Legal business name
- TRINITAS MEDICAL PROFESSIONALS
- Practice address
- 809 W Harwood Rd Ste 101
Hurst, TX 76054-3293 - Phone
- (817) 283-5252
- Fax
- (817) 283-5283
- NPI assigned
- Jun 29, 2017
- Last updated
- Jul 21, 2022
- 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
- Mark Lundgren
- Title
- Administrator
- Phone
- (817) 283-5252
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | DOH3398TX | TX | Primary |
| Orthopaedic Surgery Physician | 207X00000X | MDN8793TX | TX |
Addresses
Primary practice location
809 W Harwood Rd Ste 101
Hurst, TX 76054-3293
Mailing address
809 W Harwood Rd Ste 101
Hurst, TX 76054-3293
Phone (817) 283-5252
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1144741208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 W HARWOOD RD STE 101",
"city": "HURST",
"state": "TX",
"postal_code": "760543293",
"telephone_number": "817-283-5252",
"fax_number": "817-283-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 W HARWOOD RD STE 101",
"city": "HURST",
"state": "TX",
"postal_code": "760543293",
"telephone_number": "817-283-5252",
"fax_number": "817-283-5283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITAS MEDICAL PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LUNDGREN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "817-283-5252"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "DOH3398TX",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "MDN8793TX",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.