MEDICARE: TRINITY SURGICAL GROUP

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1851250658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY SURGICAL GROUP

Provider Business Mailing Address
First Line	:	5075 EDWARDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4133
Country	:	US
Telephone Number	:	817-292-4200
Fax Number	:	817-292-4205

Provider Business Practice Location Address
First Line	:	5075 EDWARDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4133
Country	:	US
Telephone Number	:	817-292-4200
Fax Number	:	817-292-4205

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. EMILY JANE KIRBY
Credential	:	MD
Telephone Number	:	817-292-4200

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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Directions to “TRINITY SURGICAL GROUP ” Practice Location

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