| Trinity Congruent Health, Llc | |
|
1316 Overlook Cir Cedar Hill TX 75104-4549 | |
| (972) 824-5307 | |
| Not Available |
| Full Name | Trinity Congruent Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1316 Overlook Cir, Cedar Hill, Texas |
| Authorized Official Name and Position | Dennis Jones (PRESIDENT) |
| Authorized Official Contact | 9728245307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Congruent Health, Llc 1316 Overlook Cir Cedar Hill TX 75104-4549 Ph: (972) 824-5307 | Trinity Congruent Health, Llc 1316 Overlook Cir Cedar Hill TX 75104-4549 Ph: (972) 824-5307 |
| NPI Number | 1053174573 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 4385169911 |
|---|---|
| Medicare Enrollment ID | O20250416002116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053174573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ian Keith Pagdilao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306438114 PECOS PAC ID: 8921540097 Enrollment ID: I20240604002589 |
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