Trinity Dermatology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H2710 Issued in TX

Legal business name

TRINITY DERMATOLOGY, P.A.

Practice address

4340 N Josey LN
Suite 100
Carrollton, TX 75010-4602

Phone

(972) 492-7900

Fax

(972) 492-7583

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark K Ray, M.D.

Title

President

Phone

(972) 492-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Oliver Street 5.01(a) Inc.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413

  Member Of

  NPD member

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1184708786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 N JOSEY LN",
            "address_2": "SUITE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104602",
            "telephone_number": "972-492-7900",
            "fax_number": "972-492-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 N JOSEY LN",
            "address_2": "SUITE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104602",
            "telephone_number": "972-492-7900",
            "fax_number": "972-492-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-492-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H2710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080611901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tria Health PLLC
• Triadon Corporation
• Tricity Pain Associates PA
• Tracy Trieu
• Trinity Alliance HCP Professional Limited Liability Company
• Trinity Emergency Medical Services, LLC
• Trinity J & S, Inc.
• Trinity MC, LLC
• Trinity North Dallas Neurology, PLLC
• Trinity Rehab Services

• Dermatology Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.