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NPI Code Detail

MEDICARE: TRINITY PEDIATRICS LLC

MEDICARE: TRINITY PEDIATRICS LLC
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
1313M00000XNursing Facility/Intermediate Care Facility
2314000000XSkilled Nursing Facility
3376J00000XHomemaker
4252Y00000XEarly Intervention Provider Agency
5261QD1600XDevelopmental Disabilities Clinic/Center
63140N1450XPediatric Skilled Nursing Facility
7251J00000XNursing Care Agency
8315P00000XIntellectual Disabilities Intermediate Care Facility
9261QM3000XMedically Fragile Infants and Children Day Care

General Provider Information

NPI Number : 1477416303
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY PEDIATRICS LLC
Provider Business Mailing Address
First Line : 7228 MEDICAL CENTER DRIVE
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591
Country : US
Telephone Number : 786-246-5065
Fax Number :
Provider Business Practice Location Address
First Line : 7228 MEDICAL CENTER DRIVE
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591
Country : US
Telephone Number : 786-246-5065
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. SHAMIYAAZ JAUHARI
Credential : PA-C
Telephone Number : 786-246-5065
Provider Enumeration Date : 12/08/2025
Last Update Date : 02/20/2026

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Directions to “TRINITY PEDIATRICS LLC ” Practice Location

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