Trinity Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRINITY CLINIC

Practice address

1718 S Henderson Blvd
Kilgore, TX 75662-3566

Phone

(903) 983-2110

Fax

(903) 986-9148

NPI assigned

May 11, 2006

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 A Harrison, CPC CMC

Title

Physician Clinic Support Coord

Phone

(903) 510-1113

Specialties & licenses 1

Addresses

Other names 1

• Trinity Clinic Kilgore Doing business as

Part of

Tyler Radiologist

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Trinity Clinic

  • Multi-Specialty Clinic/Center
  • Flint, TX
  • NPI 1528297983

  Member Of

  NPD member

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1376593335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5500",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757125500",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S HENDERSON BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623566",
            "telephone_number": "903-983-2110",
            "fax_number": "903-986-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY CLINIC",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN CLINIC SUPPORT COORD",
        "authorized_official_telephone_number": "903-510-1113",
        "authorized_official_credential": "CPC CMC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Clinic Kilgore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Titus County Hospital District
• Total Point - Kilgore LLC
• Total Renal Care Texas Limited Partnership
• Totalcare Comprehensive Home Health Supply
• Erica Lynne Trammell, DDS
• Trinity Clinic
• U'Nique Saferides Transportation LLC
• Caitlyn J Vanmeter, FNP-C
• Valerie Michelle Vaughn-Smith, APRN,MSN, PMHNP-BC
• Vop Arabella Kilgore, LLC

• All providers in Kilgore, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.