Basic Information
| Provider Information | |||||||||
| NPI: | 1164936365 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TRINITY EMERGENCY HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6225 FM 2920 RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773793474 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812575977 | ||||||||
| FaxNumber: | 2816054563 | ||||||||
| Practice Location | |||||||||
| Address1: | 6225 FM 2920 RD | ||||||||
| Address2: | |||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773793474 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812575977 | ||||||||
| FaxNumber: | 2816054563 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2017 | ||||||||
| LastUpdateDate: | 11/27/2017 | ||||||||
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| AuthorizedOfficialLastName: | GORRELA | ||||||||
| AuthorizedOfficialFirstName: | SUSHMA | ||||||||
| AuthorizedOfficialMiddleName: | VEERA | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2812575977 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | TX | Y | Hospitals | General Acute Care Hospital |
No ID Information.