Active NPI
Entrust Health Care LLC
- Primary Care Clinic/Center
- Tyler, TX
National Provider Identifier
1144860909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ENTRUST HEALTH CARE LLC
- Practice address
- 112 E Line St Ste 300
Tyler, TX 75702-5760 - Phone
- (903) 969-3768
- NPI assigned
- Jan 9, 2020
- 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
- Kimberly Catlin, NP
- Title
- Chief NP
- Phone
- (903) 969-3768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
112 E Line St Ste 300
Tyler, TX 75702-5760
Mailing address
112 E Line St Ste 300
Tyler, TX 75702-5760
Phone (903) 969-3768
National Provider Directory
National Provider DirectoryLocations
112 E Line St
Ste 300
Tyler, TX 75702
Phone (903) 969-3768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578528000000",
"number": "1144860909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E LINE ST STE 300",
"city": "TYLER",
"state": "TX",
"postal_code": "757025760",
"telephone_number": "903-969-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E LINE ST STE 300",
"city": "TYLER",
"state": "TX",
"postal_code": "757025760",
"telephone_number": "903-969-3768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENTRUST HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A",
"authorized_official_last_name": "CATLIN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "CHIEF NP",
"authorized_official_telephone_number": "903-969-3768",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.