MEDICARE: CHRISTUS TRINITY CLINIC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1922736925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTUS TRINITY CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 846098
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6098
Country	:	US
Telephone Number	:	903-324-6450
Fax Number	:

Provider Business Practice Location Address
First Line	:	11823 CULEBRA RD STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4563
Country	:	US
Telephone Number	:	210-598-1517
Fax Number	:

Authorized Official
Title or Position	:	VP, CFO
Name	:	ROBERT KARL
Credential	:	CPA, MPA
Telephone Number	:	469-282-2611

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	08/09/2022

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Directions to “CHRISTUS TRINITY CLINIC ” Practice Location

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