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General NPI Number Information
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NPI Number | 1801673165
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Entity Type | Organization
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Legal Business Name | CHRISTUS TRINITY CLINIC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 719 W COKE RD BLDG 1, STE 3
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City | WINNSBORO
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State | TX
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Zip | 75494-3060
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Country | US
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Telephone | 903-342-3760
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Fax | 903-342-6760
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Provider Business Mailing Address
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Address Line | PO BOX 846098
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City | DALLAS
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State | TX
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Zip | 75284-6098
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Country | US
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Telephone | 903-510-1113
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Fax | 903-525-1566
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ROBERT KARL
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Credential |
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Telephone | 469-282-2611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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