| Christus Trinity Clinic | |
|
5321 S Fm 14 Hawkins TX 75765-4839 | |
| (903) 769-2990 | |
| Not Available |
| Full Name | Christus Trinity Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5321 S Fm 14, Hawkins, Texas |
| Authorized Official Name and Position | John Christopher Glenney (VP) |
| Authorized Official Contact | 9036064445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Trinity Clinic Po Box 846098 Dallas TX 75284-6098 Ph: (903) 324-6400 | Christus Trinity Clinic 5321 S Fm 14 Hawkins TX 75765-4839 Ph: (903) 769-2990 |
| NPI Number | 1396939146 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 01/10/2020 |
| Medicare PECOS PAC ID | 3072426741 |
|---|---|
| Medicare Enrollment ID | O20050328000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396939146 | NPI | - | NPPES |
| 179427301 | Medicaid | TX | |
| 143621 | Other | TX | SUPERIOR HEALTH |
| 673886 | Other | TX | MEDICARE PART A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |