CHRISTUS TRINITY CLINIC - CARDIOLOGY (NPI# 1356892277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356892277 |
| Entity Type | Organization |
| Organization Name | CHRISTUS TRINITY CLINIC - CARDIOLOGY |
| Practice Address |
703 S Fleishel Ave Suite 4000 Tyler TX 75701-2015 |
| Practice Telephone | 9036067000 |
| Mailing Telephone | 9036067000 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | FAGG SANFORD (CHIEF OF CARDIOLOGY) |
| Authorized Official Telephone | 9036067000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AP132260 | TX | Ambulatory Health Care Facilities |
| Street Address |
703 S FLEISHEL AVE SUITE 4000 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467444141 | Thomas R Scholler | Physician Assistant | 703 S Fleishel Ave, Tyler, TX 75701-2015 | 2005-08-18 |
| 1922641299 | Marcus Evans | Nurse Practitioner | 703 S Fleishel Ave, Tyler, TX 75701-2015 | 2019-10-19 |
| 1144771288 | Toby C Silvertooth | Nurse Practitioner | 703 S Fleishel Ave, Ste. 4000, Tyler, TX 75701-2015 | 2016-10-24 |
| 1649721366 | Max T Tijerino | Physician Assistant | 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 | 2016-10-18 |
| 1891245734 | Rene Richter | General Acute Care Hospital | 703 S Fleishel Ave, Suite 5000, Tyler, TX 75701-2015 | 2016-10-04 |
| 1578915633 | Brandi L Holcomb | Nurse Practitioner | 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 | 2016-07-12 |
| 1629454160 | Jessica King Tidwell | Nurse Practitioner | 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 | 2015-08-06 |
| 1093030934 | Ramon Kumar | Internal Medicine | 703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015 | 2010-04-04 |
| 1639344310 | Sheldon Ygnacio Freeberg | Internal Medicine | 703 S Fleishel Ave, Suite 4000, Tyler, TX 75701-2015 | 2008-04-24 |
| 1811048697 | Marina Yurievna Flaskas | Internal Medicine | 703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015 | 2007-01-16 |
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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 |
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| 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 |
| 1023371804 | Clifford D. Mullins, D.c., P.C. | Clinic/Center | 14653 Eastside Rd, Tyler, TX 75707-6729 | 2012-06-18 |
| 1104120989 | Trincare Inc | Clinic/Center | 1327 Troup Hwy, Suite C, Tyler, TX 75701-4443 | 2011-01-07 |
| 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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|---|---|---|---|---|
| 1417558826 | Mercy Clinic | Clinic/Center | 951 Tristar Dr, Webster, TX 77598-1536 | 2020-11-03 |
| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 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.