NPIMap

Organization Active NPI

Christus Trinity Clinic

  • Durable Medical Equipment & Medical Supplies
  • Mineola, TX
National Provider Identifier
1376277913
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHRISTUS TRINITY CLINIC
Practice address
908 N Pacific St
Mineola, TX 75773-1836
Phone
(903) 569-9944
NPI assigned
Jul 11, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Mr. Robert Karl, CPA, MPA
Title
VP, Cfo
Phone
(469) 282-2611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

908 N Pacific St
Mineola, TX 75773-1836

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Other names 1

  • Optical Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctcpe@christushealth.org

National Provider Directory

National Provider Directory
Tax ID family
Tyler Radiologist25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1376277913",
    "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": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731836",
            "telephone_number": "903-569-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS TRINITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "469-282-2611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, MPA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctcpe@christushealth.org",
            "affiliation": "N",
            "address_1": "908 N Pacific St",
            "city": "Mineola",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757731836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Optical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mineola, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.