| Trinity Primary Care, Pllc | |
|
1259 Fm 1463 Rd Ste 400 Katy TX 77494-5480 | |
| (832) 321-3955 | |
| (832) 321-3953 |
| Full Name | Trinity Primary Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1259 Fm 1463 Rd Ste 400, Katy, Texas |
| Authorized Official Name and Position | Balakrishna R Prabhakar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8323213955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Primary Care, Pllc 1259 Fm 1463 Rd Ste 400 Katy TX 77494-5480 Ph: (832) 321-3955 | Trinity Primary Care, Pllc 1259 Fm 1463 Rd Ste 400 Katy TX 77494-5480 Ph: (832) 321-3955 |
| NPI Number | 1790035061 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 05/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790035061 | NPI | - | NPPES |
| N1075 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N1075 (Texas) | Primary |
| 208000000X | Pediatrics | N1075 (Texas) | Secondary |
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