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TRINITY CLINIC DOUGLAS PRIMARY CARE
NPI 1366671216
Clinic/Center - Multi-Specialty in Tyler, TX

Active since July 13, 2009
520 E DOUGLAS BLVD, TYLER, TX 75702(903) 593-1721 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trinity Clinic Douglas Primary Care NPPES

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

TRINITY CLINIC DOUGLAS PRIMARY CARE (NPI 1366671216) is a healthcare organization registered as a multi-specialty in Tyler, Texas and active in the NPI registry since July 2009. The organization lists Mary Ann Harrison, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1366671216
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTRINITY CLINIC
Location Address520 E DOUGLAS BLVDTyler, TX 75702-8307
Mailing AddressPo Box 840698Dallas, TX 75284-6098 · (903) 324-6400
Phone(903) 593-1721
Organization SubpartYes
Authorized OfficialMary Ann HarrisonProvider Enrollment Coordinator · 90351011113
Enumeration DateJuly 13, 2009
Last NPPES UpdateApril 20, 2015
✔ NPI 1366671216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
520 E DOUGLAS BLVD, Tyler, TX 75702
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Other Names 1

Other NameTrinity Clinic Douglas Primary Care

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.

MARCIA W GREEN FNP
Nurse Practitioner
520 E DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 593-1721
CATHERINE SHELTON PA
Nurse Practitioner
520 E DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 592-5618
DR. ALAN R PAUL MD
Family Medicine
520 E DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 510-8722
MARIA ROCIO CRISS-LAMPTON LCSW
Social Worker (Clinical)
520 E DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-1721
DR. LEE H RIDENOUR MD
Internal Medicine
520 E DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 593-1721
ROBERT BROOKS CLARKE PA
Physician Assistant
520 E DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 593-1721
OSCAR RAY WILSON MD
Family Medicine
520 E DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 510-1164
DAVID H BEAIRD MD
Internal Medicine
520 E DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 593-1721

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 Trinity Clinic's NPI number?

The NPI number for Trinity Clinic is 1366671216. It was assigned to this organization in the NPPES registry on July 13, 2009. The provider is also known as Trinity Clinic Douglas Primary Care.

Where is Trinity Clinic located?

Trinity Clinic is located at 520 E Douglas Blvd, Tyler, TX 75702. The listed phone number is (903) 593-1721.

What is Trinity Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Trinity Clinic was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.