Organization Active NPI

Trinity Primary Care, PLLC

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1790035061
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N1075 Issued in TX
Legal business name
TRINITY PRIMARY CARE, PLLC
Practice address
1259 FM 1463 Rd Ste 400
Katy, TX 77494-5480
Phone
(832) 321-3955
Fax
(832) 321-3953
NPI assigned
Sep 14, 2012
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Dr. Balakrishna R Prabhakar, M.DNPI 1821067778
Title
Medical Director
Phone
(832) 321-3955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N1075 TX Primary
Pediatrics Physician 208000000X N1075 TX

Addresses

Primary practice location

1259 FM 1463 Rd Ste 400
Katy, TX 77494-5480

Mailing address

1259 FM 1463 Rd Ste 400
Katy, TX 77494-5480
Phone (832) 321-3955

Other identifiers 1

IdentifierTypeStateIssuer
N1075OtherTXMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

701 S Fry Rd
Ste 207
Katy, TX 77450
Phone (281) 829-5881

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1790035061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 RD STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945480",
            "telephone_number": "832-321-3955",
            "fax_number": "832-321-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 RD STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945480",
            "telephone_number": "832-321-3955",
            "fax_number": "832-321-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "PRABHAKAR",
        "authorized_official_first_name": "BALAKRISHNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-321-3955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1075",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N1075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N1075",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.