| 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 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 07/10/2017 |
| Medicare PECOS PAC ID | 6507139060 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508902479 PECOS PAC ID: 0244218378 Enrollment ID: I20100623000331 |
| Provider Name | Meaza Yitbarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881964898 PECOS PAC ID: 9032432752 Enrollment ID: I20150102000929 |
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