| NPI | 1013496595 |
|---|---|
| Doing Business As | TRINITY OPTICAL - SULPHUR SPRINGS |
| Entity Type | Organization |
| Authorized Contact | ELIAS DAVID FAJARDO Provider Enrollment Manager 903-510-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |