| Trinity Md Llc | |
|
6205 Locke Ave Fort Worth TX 76116-4636 | |
| (817) 946-2051 | |
| Not Available |
| Full Name | Trinity Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6205 Locke Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Henry Dollahite (OWNER) |
| Authorized Official Contact | 8179462051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Md Llc 6205 Locke Ave Fort Worth TX 76116-4636 Ph: (817) 946-2051 | Trinity Md Llc 6205 Locke Ave Fort Worth TX 76116-4636 Ph: (817) 946-2051 |
| NPI Number | 1811519093 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 05/11/2020 |
| Medicare PECOS PAC ID | 0345660080 |
|---|---|
| Medicare Enrollment ID | O20201019000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811519093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joanna G Brochu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528235595 PECOS PAC ID: 9133297088 Enrollment ID: I20081006000562 |
| Provider Name | Brenda Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285930354 PECOS PAC ID: 5395929343 Enrollment ID: I20110415000212 |
| Provider Name | Mohammad I Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200874 PECOS PAC ID: 9739241894 Enrollment ID: I20120111000888 |
| Provider Name | Isadora G Subia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821339201 PECOS PAC ID: 5597904128 Enrollment ID: I20130612000074 |
| Provider Name | Tabassum Naz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124368345 PECOS PAC ID: 4789826173 Enrollment ID: I20140410000153 |
| Provider Name | Henry Dollahite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104243468 PECOS PAC ID: 7517186950 Enrollment ID: I20170726003495 |
| Provider Name | Margaret Bondoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851826473 PECOS PAC ID: 6305110057 Enrollment ID: I20170920000647 |
| Provider Name | Amanda M Dayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114449469 PECOS PAC ID: 7719252931 Enrollment ID: I20171013000662 |
| Provider Name | Simeon M Ngishu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629540497 PECOS PAC ID: 4183886740 Enrollment ID: I20190128002353 |
| Provider Name | Lauri Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992361307 PECOS PAC ID: 4789918061 Enrollment ID: I20190619002801 |
Southwest Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Bryant Irvin Rd, Suite 203, Fort Worth, TX 76132 Phone: 817-346-4000 Fax: 817-263-9398 | |
University Of North Texas Health Science Center At Fort Worth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2000 | |
Hanson Internal Medicine, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Harris Pkwy, Suite 240, Fort Worth, TX 76132 Phone: 817-504-5699 | |
Feliz Family Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3109 6th Ave, Fort Worth, TX 76110 Phone: 817-923-7055 Fax: 817-923-7902 | |
Symetria Health Of Texas, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7229 Hawkins View Dr, Fort Worth, TX 76132 Phone: 682-350-4444 | |
Associates Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 College Ave, Fort Worth, TX 76110 Phone: 682-268-1152 Fax: 877-772-0063 | |
Apex Alliance Medical Group Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Westport Pkwy, Suite 150, Fort Worth, TX 76177 Phone: 817-837-1091 Fax: 817-837-1097 |