| NPI | 1225272198 |
|---|---|
| Doing Business As | TRINITY COLONRECTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL SAMUEL HACKETT President 937-422-3186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX N2543) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |