Trinity Clinic Henderson 2 | |
511 N High St Henderson TX 75652-5985 | |
(903) 657-7583 | |
Not Available |
Full Name | Trinity Clinic Henderson 2 |
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Speciality | Clinic/center - Rural Health |
Location | 511 N High St, Henderson, Texas |
Authorized Official Name and Position | Mary Ann Harrison (PHYSICIAN CLINIC SUPPORT COORDINATO) |
Authorized Official Contact | 9035101113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trinity Clinic Henderson 2 Po Box 846098 Dallas TX 75284-6098 Ph: (903) 324-6400 | Trinity Clinic Henderson 2 511 N High St Henderson TX 75652-5985 Ph: (903) 657-7583 |
NPI Number | 1760676613 |
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Provider Enumeration Date | 09/04/2007 |
Last Update Date | 04/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760676613 | NPI | - | NPPES |
177294901 | Medicaid | TX | |
131500 | Other | TX | SUPERIOR HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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