| Trinity Psychiatry | |
|
17480 Dallas Pkwy Ste 106 Dallas TX 75287-7303 | |
| (214) 758-0661 | |
| Not Available |
| Full Name | Trinity Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 17480 Dallas Pkwy Ste 106, Dallas, Texas |
| Authorized Official Name and Position | Yewande Wilson (PRESIDENT) |
| Authorized Official Contact | 2147580661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Psychiatry 17480 Dallas Pkwy Ste 106 Dallas TX 75287-7303 Ph: (214) 758-0661 | Trinity Psychiatry 17480 Dallas Pkwy Ste 106 Dallas TX 75287-7303 Ph: (214) 758-0661 |
| NPI Number | 1992448286 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/01/2022 |
| Medicare PECOS PAC ID | 5890175590 |
|---|---|
| Medicare Enrollment ID | O20220711003570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992448286 | NPI | - | NPPES |
| Provider Name | Yewande Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720457633 PECOS PAC ID: 6709266406 Enrollment ID: I20220711003602 |
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