| NPI | 1366680217 |
|---|---|
| Doing Business As | TRINITY CLINIC NEUROSURGERY |
| Entity Type | Organization |
| Authorized Contact | MARY ANN HARRISON Provider Enrollment COO Rdinator 903-510-1113 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2015-04-20 |