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CHRISTUS TRINITY CLINIC - CARDIOLOGY
NPI 1356892277
Clinic/Center in Tyler, TX

Active since October 14, 2016CLIA 45D2285418 · Waiver
703 S FLEISHEL AVE, SUITE 4000, TYLER, TX 75701(903) 606-7000 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christus Trinity Clinic - Cardiology NPPES

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

CHRISTUS TRINITY CLINIC - CARDIOLOGY (NPI 1356892277) is a healthcare organization registered as a clinic/center in Tyler, Texas and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Fagg Sanford, Chief Of Cardiology, as its authorized official.

NPPES Registry Identity

NPI1356892277
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHRISTUS TRINITY CLINIC - CARDIOLOGY
Location Address703 S FLEISHEL AVE, SUITE 4000Tyler, TX 75701-2015
Mailing Address703 S Fleishel Ave, Suite 4000Tyler, TX 75701-2015 · (903) 606-7000
Phone(903) 606-7000
Organization SubpartNo
Authorized OfficialFagg SanfordChief Of Cardiology · (903) 606-7000
Enumeration DateOctober 14, 2016
✔ NPI 1356892277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · AP132260
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
703 S FLEISHEL AVE, Tyler, TX 75701
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CLIA Laboratory Certificates CMS CLIA

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 45D2285418

Christus Trinity Clinic · Tyler, TX
Active · expires Jul 11, 2027
CLIA Number45D2285418
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorJames Stanford
Laboratory Phone(903) 606-4244
Laboratory LocationChristus Trinity Clinic700 S Fleishel Ave, Tyler, TX 75701
CLIA data matches this NPI record on: Name
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.

MARIAH DAWN MEENACH APRN
Nurse Practitioner (Gerontology)
703 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-3000
DR. RAMON KUMAR M.D.
Internal Medicine (Interventional Cardiology)
703 S FLEISHEL AVE, STE 4000
TYLER, TX 75701
Smith County (903) 606-7000
TOBY C SILVERTOOTH FNP-C
Nurse Practitioner
703 S FLEISHEL AVE, STE. 4000
TYLER, TX 75701
Smith County (903) 606-7000
MS. BETHANY NICHOLE COWAN FNP-C
Nurse Practitioner (Family)
703 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-3000
DARREN JAY TAPLEY PA
Physician Assistant
703 S FLEISHEL AVE, STE 5000
TYLER, TX 75701
Smith County (903) 525-2992
THOMAS R SCHOLLER PA-C
Physician Assistant
703 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-7000
CLYDE FAGG SANFORD III MD
Internal Medicine (Cardiovascular Disease)
703 S FLEISHEL AVE, STE 4000
TYLER, TX 75701
Smith County (903) 606-7000
JAMES A. CACCITOLO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
703 S FLEISHEL AVE, STE 5000
TYLER, TX 75701
Smith County (903) 606-7525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christus Trinity Clinic - Cardiology's NPI number?

The NPI number for Christus Trinity Clinic - Cardiology is 1356892277. It was assigned to this organization in the NPPES registry on October 14, 2016.

Where is Christus Trinity Clinic - Cardiology located?

Christus Trinity Clinic - Cardiology is located at 703 S Fleishel Ave Suite 4000, Tyler, TX 75701. The listed phone number is (903) 606-7000.

What is Christus Trinity Clinic - Cardiology's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Christus Trinity Clinic - Cardiology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2285418) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Christus Trinity Clinic - Cardiology was last updated on October 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.