Trinity Physicians Group | |
4000 Spencer Hwy Pasadena TX 77504-1202 | |
(281) 967-0281 | |
Not Available |
Full Name | Trinity Physicians Group |
---|---|
Speciality | Internal Medicine |
Location | 4000 Spencer Hwy, Pasadena, Texas |
Authorized Official Name and Position | Yiching Andrew Liu (SOLE MEMBER) |
Authorized Official Contact | 2819670281 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Trinity Physicians Group Po Box 19206 Sugar Land TX 77496-9206 Ph: () - | Trinity Physicians Group 4000 Spencer Hwy Pasadena TX 77504-1202 Ph: (281) 967-0281 |
NPI Number | 1962923243 |
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Provider Enumeration Date | 06/27/2017 |
Last Update Date | 07/10/2017 |
Medicare PECOS PAC ID | 6507139060 |
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Medicare Enrollment ID | O20170905001151 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962923243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Provider Name | Yiching A Liu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508902479 PECOS PAC ID: 0244218378 Enrollment ID: I20100623000331 |
Provider Name | Meaza Yitbarek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881964898 PECOS PAC ID: 9032432752 Enrollment ID: I20150102000929 |
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