Trinity Diagnostic Clinic, P.A

LBN: Trinity Diagnostic Clinic, P.A
Trinity Diagnostic Clinic, P.A is an health care organization with primary practice located at 6324 Southern Hills Dr , Fort Worth TX 76132-4485. The organization recently has only one registered license in Hospital Units / Medicare Defined Swing Bed Unit, which is considered as the primary health care specialty. Trinity Diagnostic Clinic, P.A can be contacted via phone (817) 905-2254, or through Raju, Kosuri B via phone (817) 905-2254.

Contact Information

Primary practice address
6324 Southern Hills Dr Fort Worth TX 76132-4485
Phone: (817) 905-2254
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raju, Kosuri B Doctor of Medicine (MD)
Phone: (817) 905-2254

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X G7866 Texas

Profile Details

NPI number 1508214222
LBN Legal business name Trinity Diagnostic Clinic, P.A
DBA Doing business as
Authorized official Raju, Kosuri B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2016
Last updated Jun 3rd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508214222 NPPES
Texas MEDICAID 123216705

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