Trinity Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRINITY CLINIC

Doing business as

Trinity Clinic Manhatton

Practice address

3802 Manhatton Dr
Tyler, TX 75701-9451

Phone

(903) 509-8888

Fax

(903) 509-8880

NPI assigned

Oct 10, 2008

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

TRINITY CLINICAs reported in NPPES

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

Authorized official

Name

Mary Ann Harrison, CPC CMC

Title

Physician Clinic Support Coordinato

Phone

(903) 510-1113

Specialties & licenses 1

Addresses

Other names 1

• Trinity Clinic Manhatton Doing business as

Part of

Tyler Radiologist

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1255582086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 MANHATTON DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019451",
            "telephone_number": "903-509-8888",
            "fax_number": "903-509-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY CLINIC",
        "enumeration_date": "2008-10-10",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN CLINIC SUPPORT COORDINATO",
        "authorized_official_telephone_number": "903-510-1113",
        "authorized_official_credential": "CPC CMC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Clinic Manhatton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonya Jo Trevizo, LPC - ASSOCIATE
• Erica Larounda Trim, PTA
• Trincare Inc (TrinCare Clinical Laboratories)
• Trincare Inc (Trinity Optical LLC)
• Trinity Clinic
• Trinity Clinic
• Trinity Clinic
• Trinity Clinic (Trinity Clinic NeuroSurgery)
• Trinity Clinic (Trinity Rehab)
• Trinity Clinic (Trinity Clinic Surgery)

• Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.