Trinity Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TRINITY CLINIC

Doing business as

Trinity Clinic Lindale

Practice address

3203 S Main St
Lindale, TX 75771-7727

Phone

(903) 882-0991

Fax

(903) 882-7751

NPI assigned

Oct 8, 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

Provider Enrollment Coordinator

Phone

(903) 510-1113

Specialties & licenses 1

Addresses

Other names 1

• Trinity Clinic Lindale Doing business as

Part of

Trinity Internal Med PC

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1316198310",
    "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": "903-324-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 S MAIN ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717727",
            "telephone_number": "903-882-0991",
            "fax_number": "903-882-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY CLINIC",
        "enumeration_date": "2008-10-08",
        "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": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "903-510-1113",
        "authorized_official_credential": "CPC CMC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Clinic Lindale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Elizabeth Thompson, OPTICIAN
• Amanda Colleen Thornton, LPC
• Thrive Counseling and Life Coaching, PLLC
• Brittany Joyce Tolbert-Gideon, RBT
• Total Point - Desoto LLC (Total Point Primary & Family Care)
• Deanna Leigh Tunnell, PT, DPT
• Rodney Kent Van Andel, M.D.
• Brandon Keith Van Deman, FNP-C
• Laura Varnado
• Jose Antonio Vega, PHARM.D.

• Multi-Specialty Clinic/Center in Lindale, TX
• Providers in Lindale, TX by specialty
• Multi-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.