| Trinity Iom, Pa | |
|
18302 Noyce Rd Crosby TX 77532-7807 | |
| (281) 346-3480 | |
| (832) 581-4677 |
| Full Name | Trinity Iom, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 18302 Noyce Rd, Crosby, Texas |
| Authorized Official Name and Position | Jeff Kropholler (DIRECTOR) |
| Authorized Official Contact | 2542212900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Iom, Pa Po Box 204166 Dallas TX 75320-4166 Ph: (281) 346-3480 | Trinity Iom, Pa 18302 Noyce Rd Crosby TX 77532-7807 Ph: (281) 346-3480 |
| NPI Number | 1346585718 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346585718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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