Trinity Integrative Care, Llc | |
12863 County Road 192 Tyler TX 75703-6417 | |
(903) 805-0229 | |
Not Available |
Full Name | Trinity Integrative Care, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 12863 County Road 192, Tyler, Texas |
Authorized Official Name and Position | Gary Duke (DIRECTOR) |
Authorized Official Contact | 9035716555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trinity Integrative Care, Llc 6117 Sutherland Dr Tyler TX 75703-4654 Ph: (903) 571-6555 | Trinity Integrative Care, Llc 12863 County Road 192 Tyler TX 75703-6417 Ph: (903) 805-0229 |
NPI Number | 1043856289 |
---|---|
Provider Enumeration Date | 11/22/2019 |
Last Update Date | 11/22/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043856289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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