NPI | 1285684258 |
---|---|
Doing Business As | TRINITY CLINIC HENDERSON |
Entity Type | Organization |
Authorized Contact | MARY ANN HARRISON Physician Clinic Support Coordinato 903-510-1113 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2022-07-07 |