TRINITY DIAGNOSTIC CLINIC, P.A

FORT WORTH, TX
NPI1508214222
Entity TypeOrganization
Authorized ContactKOSURI B RAJU
President
817-905-2254
Organization Subpart ?No
Primary Taxonomy275N00000X Medicare Defined Swing Bed Unit
(Licence: TX  G7866)
Enumeration Date2016-06-03
Last Update Date2016-06-03
Business Address
TRINITY DIAGNOSTIC CLINIC, P.A
6324 SOUTHERN HILLS DR
FORT WORTH, TX 76132-4485
Phone number: 817-905-2254
Mailing Address
TRINITY DIAGNOSTIC CLINIC, P.A
6324 SOUTHERN HILLS DR
FORT WORTH, TX 76132
Phone number: 817-905-2254