| Trinity Clinic Emory | |
|
886 E Lennon Dr Ste 105 Emory TX 75440-3214 | |
| (903) 473-3036 | |
| (903) 473-2007 |
| Full Name | Trinity Clinic Emory |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 886 E Lennon Dr, Emory, Texas |
| Authorized Official Name and Position | Mary Ann Harrison (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 9035101113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Clinic Emory Po Box 840698 Dallas TX 75284-6098 Ph: (903) 324-6450 | Trinity Clinic Emory 886 E Lennon Dr Ste 105 Emory TX 75440-3214 Ph: (903) 473-3036 |
| NPI Number | 1316061013 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316061013 | NPI | - | NPPES |
| CP0098 | Other | TX | RAILROAD MEDICARE |
| 137940601 | Medicaid | TX | |
| 0030PS | Other | TX | BCBS GROUP |
| 177294904 | Medicaid | TX | |
| 184554701 | Medicaid | TX | |
| 091888002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Christus Trinity Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 E Lennon Dr, Emory, TX 75440 Phone: 903-473-7234 Fax: 903-473-8096 | |
Trinity Clinic Emory Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 E. Lennon Dr, Ste 105, Emory, TX 75440 Phone: 903-473-3036 Fax: 903-473-2007 | |
Memorial Clinic Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 E. Lennon, Emory, TX 75440 Phone: 903-473-7234 Fax: 903-473-8096 | |
Hunt Regional Medical Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 886 E Lennon Dr, Suite 105, Emory, TX 75440 Phone: 903-473-2060 Fax: 903-473-2686 |