Trinity Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRINITY CLINIC

Doing business as

Trinity Clinic Podiatry

Practice address

1034 Clinic Dr
Tyler, TX 75701-2050

Phone

(903) 596-9173

Fax

(903) 592-1684

NPI assigned

Feb 19, 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 3

Addresses

Other names 1

• Trinity Clinic Podiatry Doing business as

Part of

Trinity Internal Med PC

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1922276435",
    "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": "1034 CLINIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012050",
            "telephone_number": "903-596-9173",
            "fax_number": "903-592-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY CLINIC",
        "enumeration_date": "2008-02-19",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Clinic Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity Clinic (Trinity Clinic Reference Laboratory)
• Trinity Clinic
• Trinity Clinic (Trinity Clinic MultiSpecialty Group)
• Trinity Clinic (Herrington Ornelas Health Plaza)
• Trinity Clinic (Trinity Clinic Family Practice)
• Trinity Clinic
• Trinity Clinic Surgery
• Trinity Home Health Care Inc.
• Trinity Integrative Care, LLC
• Trinity Mobility, LLC (Abide Direct)

• Clinic/Center in Tyler, TX
• Providers in Tyler, TX by 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.