Trinity Colon and Rectal Surgery Clinic, PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

N2543 Issued in TX

Legal business name

TRINITY COLON AND RECTAL SURGERY CLINIC, PA

Doing business as

Trinity Colonrectal

Practice address

8067 West Virginia Drive
Dallas, TX 75237

Phone

(972) 709-9300

Fax

(972) 709-9307

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Samuel Hackett, M.D.NPI 1154332393

Title

President

Phone

(937) 422-3186

Specialties & licenses 1

Addresses

Other names 1

• Trinity Colonrectal Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Samuel Hackett, M.D.

  • Colon & Rectal Surgery Physician
  • Dallas, TX
  • NPI 1154332393
  Authorized official Same address or phone

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1225272198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8067 WEST VIRGINIA DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "972-709-9300",
            "fax_number": "972-709-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8067 WEST VIRGINIA DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "972-709-9300",
            "fax_number": "972-709-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY COLON AND RECTAL SURGERY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-422-3186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "N2543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Colonrectal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vu Tranh Trinh, MD
• Trinidad Medical Consultants Inc
• Trinity Anesthesia Services, PA
• Trinity Angels, LLC
• Trinity CDS LLC
• Trinity Community Mental Health
• Trinity Counseling & Consultation Services
• Trinity Diagnostic Imaging, LLC
• Trinity Drugs LLC (Trinity Family Pharmacy)
• Trinity Empowerment Initiative, Inc. (Esther's Place/Valor House)

• Colon & Rectal Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.