Active NPI
Trinity Family Clinic, PC
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1366885378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRINITY FAMILY CLINIC, PC
- Practice address
- 3306 Fannin St
Houston, TX 77004-2904 - Phone
- (832) 969-4349
- NPI assigned
- Apr 9, 2013
- 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
- Abdias D Etienne
- Title
- Ceo
- Phone
- (832) 969-4349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3306 Fannin St
Houston, TX 77004-2904
Mailing address
3306 Fannin St
Houston, TX 77004-2904
National Provider Directory
National Provider DirectoryLocations
3306 Fannin St
Houston, TX 77004
Phone (713) 522-1788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365465600000",
"number": "1366885378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770042904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770042904",
"telephone_number": "832-969-4349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY FAMILY CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A",
"authorized_official_last_name": "ETIENNE",
"authorized_official_first_name": "ABDIAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "832-969-4349"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Trinity Ayomide, LLC
- Trinity Community Healthcare LLC
- Trinity Counseling and Wellness PLLC
- Trinity Dental Management Group
- Trinity EMS, LLC
- Trinity Health and Family Practice
- Trinity Health and Family Practice, PLLC
- Trinity Home and Community Center
- Trinity Home Health Services Inc.
- Trinity Home Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.