TRINCARE INC (NPI# 1104120989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104120989 |
Entity Type | Organization |
Organization Name | TRINCARE INC |
Other Organization Name | TRINITY OPTICAL LLC |
Practice Address |
1327 Troup Hwy Suite C Tyler TX 75701-4443 |
Practice Telephone | 9035314738 |
Practice Fax Number | 9035315853 |
Mailing Telephone | 9035252993 |
Mailing Fax Number | 9035315853 |
Enumeration Date | 2011-01-07 |
Last Update Date | 2012-02-10 |
Authorized Official Name | SHELLEY SCHANLEY (DIRECTOR) |
Authorized Official Telephone | 9035252993 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
TRINITY OPTICAL LLC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902385487 | Trincare Inc | Clinic/Center | 908 N Pacific St, Mineola, TX 75773-1836 | 2018-08-07 |
1013496595 | Trincare Inc | Clinic/Center | 1100 Mockingbird Ln, Sulphur Springs, TX 75482-4853 | 2018-08-07 |
1821392606 | Trincare Inc | Clinic/Center | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2011-01-07 |
1033351226 | Trincare Inc | Clinical Medical Laboratory | 620 S Fleishel Ave, Tyler, TX 75701-2041 | 2009-04-02 |
Street Address |
1327 TROUP HWY SUITE C |
City | TYLER |
State | TX |
Zip Code | 75701-4443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225035827 | Ming Lu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2005-06-28 |
1558886788 | Nicole Rawlings | Specialist/Technologist | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2017-08-09 |
1902225238 | Dustin Stidger | Internal Medicine | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2014-04-15 |
1851728240 | Michelle L Cook | Nurse Practitioner | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2013-10-01 |
1306289186 | Jeremy Russell Cefalu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701 | 2013-04-11 |
1972866283 | Jon-michael Glen Cline | Family Medicine | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2012-06-21 |
1043505001 | Heather Leigh Licht | Orthopaedic Surgery | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2011-06-17 |
1225342074 | Charles D Smith | Optometrist | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2010-08-04 |
1780840603 | Jayesh Kishor Patel | Orthopaedic Surgery | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2008-07-30 |
1821252925 | Adam Schneider | Orthopaedic Surgery | 1327 Troup Hwy, Department of Orthopedics - Trinity Clinic, Tyler, TX 75701-4443 | 2008-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
Find all providers in zip 75701 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245319334 | Barbara Ryno Davidson Md Pa | Clinic/Center | 1100 E Lake St Ste 340, Tyler, TX 75701-3359 | 2006-11-02 |
1356892277 | Christus Trinity Clinic - Cardiology | Clinic/Center | 703 S Fleishel Ave, Suite 4000, Tyler, TX 75701-2015 | 2016-10-14 |
1023371804 | Clifford D. Mullins, D.c., P.C. | Clinic/Center | 14653 Eastside Rd, Tyler, TX 75707-6729 | 2012-06-18 |
1609003532 | Guevara Enterprises Inc. | Clinic/Center | 1819 Troup Hwy, Tyler, TX 75701-5870 | 2009-06-18 |
1255582086 | Trinity Clinic | Clinic/Center | 3802 Manhatton Dr, Tyler, TX 75701-9451 | 2008-10-10 |
1770613945 | James H Demberg Md Pa | Clinic/Center | 1810 Shiloh Rd, Suite # 501, Tyler, TX 75703-2419 | 2007-03-06 |
1356391734 | Trinity Clinic | Clinic/Center | 910 E Houston St, Ste 530, Tyler, TX 75702-8366 | 2006-05-10 |
1376540096 | Dehaven Cataract Surgical Center,inc | Clinic/Center | 1424 East Front, Tyler, TX 75702-8501 | 2005-07-07 |
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1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.