NPIMap

Organization Active NPI

Trinity Family Medical, PLLC

  • Clinic/Center
  • Baytown, TX
National Provider Identifier
1477019099
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRINITY FAMILY MEDICAL, PLLC
Practice address
507 Rollingbrook Dr
Baytown, TX 77521-4036
Phone
(281) 422-8811
Fax
(281) 422-5372
NPI assigned
Feb 19, 2019
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Terry W MooreNPI 1225045891
Title
Owner
Phone
(281) 422-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

507 Rollingbrook Dr
Baytown, TX 77521-4036

Mailing address

PO Box 2069
Baytown, TX 77522-2069
Phone (281) 422-8811

National Provider Directory

National Provider Directory

Locations

507 Rollingbrook Dr
Baytown, TX 77521
Phone (281) 420-5548

11221 Katy Fwy
Ste 103
Houston, TX 77079
Phone (832) 374-8521

19380 N Freeway
Ste 170
Spring, TX 77373
Phone (281) 719-0461

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1477019099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2069",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775222069",
            "telephone_number": "281-422-8811",
            "fax_number": "281-422-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 ROLLINGBROOK DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214036",
            "telephone_number": "281-422-8811",
            "fax_number": "281-422-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FAMILY MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-422-8811"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.