CHRISTUS TRINITY CLINIC
NPI 1285684225
Family Medicine in Tyler, TX

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since May 11, 2006CLIA Certified · 2 labs

520 DOUGLAS BLVD, TYLER, TX 75702(903) 315-4119(903) 525-1566 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2024, Apr 12, 2024, Feb 18, 2020 and 3 more (6 updates tracked since 2019).

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About Christus Trinity Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTUS TRINITY CLINIC (NPI 1285684225) is a healthcare organization registered as a family medicine in Tyler, Texas and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Shreveport, and lists Robert Karl, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285684225

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCHRISTUS TRINITY CLINIC

Location Address520 DOUGLAS BLVDTyler, TX 75702-8307

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450

Phone(903) 315-4119

Fax(903) 525-1566

Organization SubpartNo

Authorized OfficialRobert KarlCfo · (469) 282-2611

Enumeration DateMay 11, 2006

Last NPPES UpdateApril 24, 20246 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1285684225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X

Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

520 DOUGLAS BLVD, Tyler, TX 75702

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Other Names 1

Doing Business AsChristus Trinity Clinic

Secondary Practice Location 1

Location 11400 E Bert Kouns Industrial Loop Ste 100Shreveport, LA 71105-5647 · Phone (318) 681-4319 · Fax (318) 681-5351

Other Identifiers 23

Other1091520016TX · Palmetto Dme-kilgore

Medicaid138737529TX

Medicaid138737510TX

Medicaid138737521TX

Medicaid138737527TX

Medicaid138737530TX

Medicaid138737535TX

Medicaid138737531TX

Medicaid138737522TX

Medicaid138737511TX

Medicaid138737528TX

Medicaid138737532TX

Medicaid138737533TX

Medicaid138737536TX

Medicaid168206402TX

Medicaid138737504TX

Medicaid138737506TX

Medicaid141835201TX

Other141838601TX · Thsteps-whitehouse

Medicaid063685402TX

Medicaid138737524TX

Medicaid138737534TX

Medicaid177294903TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2330467

Christus Trinity Clinic Gastroenterology · Shreveport, LA

Active · expires Sep 15, 2027

CLIA Number19D2330467

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorMardeli S. Mendoza

Laboratory Phone(318) 681-4282

Laboratory LocationChristus Trinity Clinic Gastroenterology1449 East Bert Kouns Industrial Loop, Ste 101, Shreveport, LA 71105

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2317482

Christus Trinity Clinic · Shreveport, LA

Active · expires Jan 24, 2027

CLIA Number19D2317482

Laboratory TypePhysician Office

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorDonna Wyatt

Laboratory Phone(318) 572-0385

Laboratory LocationChristus Trinity Clinic1400 E Bert Kouns Suite 100, Shreveport, LA 71105

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D1095036

Chritus Trinity Clinic · Shreveport, LA

Active · expires Jul 19, 2028

CLIA Number19D1095036

Laboratory TypePhysician Office

Certificate Effective DateJuly 20, 2026

Certificate Expiration DateJuly 19, 2028

Laboratory DirectorAriel P. Goelden

Laboratory Phone(318) 681-6890

Laboratory LocationChritus Trinity Clinic7045 Youree Drive, Shreveport, LA 71105

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLET J HICKMAN MD

Family Medicine