| Trinity Primary Care Pllc | |
|
1259 Fm 1463 Rd Ste 400 Katy TX 77494-5480 | |
| (832) 695-9400 | |
| (888) 720-2860 |
| Full Name | Trinity Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1259 Fm 1463 Rd Ste 400, Katy, Texas |
| Authorized Official Name and Position | Dharmendra Verma (OWNER) |
| Authorized Official Contact | 8324433725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Primary Care Pllc 1259 Fm 1463 Rd Ste 400 Katy TX 77494-5480 Ph: (832) 695-9400 | Trinity Primary Care Pllc 1259 Fm 1463 Rd Ste 400 Katy TX 77494-5480 Ph: (832) 695-9400 |
| NPI Number | 1447008289 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 07/02/2024 |
| Medicare PECOS PAC ID | 8325582570 |
|---|---|
| Medicare Enrollment ID | O20240628003018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447008289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cindy S Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174747661 PECOS PAC ID: 8729153713 Enrollment ID: I20090825000242 |
| Provider Name | Ranga Reddy Kattegummula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275516577 PECOS PAC ID: 2264614783 Enrollment ID: I20110304000359 |
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