MEDICARE: TRINITY FORENSIC PSYCHIATRY CONSULTING, PLLC

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1467296616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY FORENSIC PSYCHIATRY CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	4040 N CENTRAL EXPY STE 670
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3158
Country	:	US
Telephone Number	:	214-247-6112
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 N CENTRAL EXPY STE 670
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3158
Country	:	US
Telephone Number	:	214-247-6112
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MATTHEW LOUIS EDWARDS JR.
Credential	:	MD
Telephone Number	:	214-247-6112

Provider Enumeration Date	:	06/22/2024
Last Update Date	:	03/28/2026

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