Trinity Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TRINITY CLINIC

Doing business as

Trinity Rehab

Practice address

3131 Troup Hwy
Tyler, TX 75701-8350

Phone

(903) 510-7006

NPI assigned

Oct 24, 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

Physician Clinic Support Coordinato

Phone

(903) 510-1113

Specialties & licenses 1

Addresses

Other names 1

• Trinity Rehab Doing business as

Part of

Trinity Internal Med PC

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1487807277",
    "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": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018350",
            "telephone_number": "903-510-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY CLINIC",
        "enumeration_date": "2008-10-24",
        "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": "PHYSICIAN CLINIC SUPPORT COORDINATO",
        "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 Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity Clinic
• Trinity Clinic (Trinity Clinic Manhatton)
• Trinity Clinic
• Trinity Clinic
• Trinity Clinic (Trinity Clinic NeuroSurgery)
• Trinity Clinic (Trinity Clinic Surgery)
• Trinity Clinic (Trinity Clinic Reference Laboratory)
• Trinity Clinic
• Trinity Clinic (Trinity Clinic MultiSpecialty Group)
• Trinity Clinic (Herrington Ornelas Health Plaza)

• Multi-Specialty Clinic/Center in Tyler, TX
• Providers in Tyler, 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.