Healthcare Provider Details

I. General information

NPI: 1790641132
Provider Name (Legal Business Name): TRINITY PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 HIGHLAND PARK PLZ
COVINGTON LA
70433-7116
US

IV. Provider business mailing address

836 SAND FOX RUN
MADISONVILLE LA
70447-3144
US

V. Phone/Fax

Practice location:
  • Phone: 985-282-4535
  • Fax: 985-244-8667
Mailing address:
  • Phone: 985-282-4535
  • Fax: 985-244-8667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEREDITH GREMBOWICZ
Title or Position: MEMBER/MANAGER
Credential: MD
Phone: 985-869-5675