Trincare Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRINCARE INC

Practice address

908 N Pacific St
Mineola, TX 75773-1836

Phone

(903) 569-2244

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Elias David Fajardo

Title

Provider Enrollment Manager

Phone

(903) 510-1113

Specialties & licenses 1

Addresses

Other names 1

• TRINITY OPTICAL - MINEOLA Doing business as

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1902385487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731836",
            "telephone_number": "903-569-2244"
        },
        {
            "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": "903-569-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "903-510-1113"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY OPTICAL - MINEOLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin Leif Stromberg, DDS
• Dylan James Sutton, DO
• Brianna Nicole Teaff, DC
• Hayley Teal, RD
• Texas Bluebonnet Home Care Inc
• Cristen Joy Tucker, MS
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LP
• Walgreen Co.
• Joe Michael Waller, LPC

• Clinic/Center in Mineola, TX
• Providers in Mineola, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.