| Trinity Clinical Assocates Pain Management | |
|
4204 Gardendale St. Ste 203 San Antonio TX 78229-3139 | |
| (210) 614-8452 | |
| (210) 614-8561 |
| Full Name | Trinity Clinical Assocates Pain Management |
|---|---|
| Speciality | Massage Therapist |
| Location | 4204 Gardendale St., San Antonio, Texas |
| Authorized Official Name and Position | John G. Dimler (DIRECTOR) |
| Authorized Official Contact | 2106148452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Clinical Assocates Pain Management 4204 Gardendale St. Ste 203 San Antonio TX 78229-3139 Ph: (210) 614-8452 | Trinity Clinical Assocates Pain Management 4204 Gardendale St. Ste 203 San Antonio TX 78229-3139 Ph: (210) 614-8452 |
| NPI Number | 1639267164 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639267164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 14338 (Texas) | Primary |
| 171100000X | Acupuncturist | AC00174 (Texas) | Primary |
| 225700000X | Massage Therapist | 028861 (Texas) | Primary |
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