| NPI | 1942250998 |
|---|---|
| Other Name | TRINITY CLINIC PEDIATRICS CHILDRENS |
| Entity Type | Organization |
| Authorized Contact | MARY ANN HARRISON Physician Clinic Support Coordinato 903-510-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |