MEDICARE: TRINITY MED CARE

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	163WW0000X	Wound Care Registered Nurse
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1376485300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY MED CARE

Provider Business Mailing Address
First Line	:	205 N OAKVISTA CT
Second Line	:
City	:	ALEDO
State	:	TX
Zip	:	76008-2579
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 N OAKVISTA CT
Second Line	:
City	:	ALEDO
State	:	TX
Zip	:	76008-2579
Country	:	US
Telephone Number	:	817-910-6711
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DONOVAN MISKE
Credential	:
Telephone Number	:	817-910-6711

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “TRINITY MED CARE ” Practice Location

Language	Start Address	Practice Location

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