Organization Active NPI

Trinitas Medical Professionals

  • Orthopaedic Surgery Physician
  • Hurst, TX
National Provider Identifier
1144741208
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DOH3398TX Issued in TX
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X DOH3398TX TX Primary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.