MEDICARE: JOHN ARTHUR TRINH, M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	M5548	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M5548	OTHER	TX	MEDICAL LICENSE

General Provider Information

NPI Number	:	1356543631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN ARTHUR TRINH, M.D.

Provider Business Mailing Address
First Line	:	810 HOSPITAL DR STE 105
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-4633
Country	:	US
Telephone Number	:	409-838-2377
Fax Number	:	409-838-2375

Provider Business Practice Location Address
First Line	:	810 HOSPITAL DR STE 105
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-4633
Country	:	US
Telephone Number	:	409-838-2377
Fax Number	:	409-838-2375

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JOHN ARTHUR TRINH
Credential	:	M.D.
Telephone Number	:	409-838-2377

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	04/03/2008

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