Provider Demographics
NPI:1225039357
Name:HONG CATHERINE TRINH MEDICA GROUP LLP
Entity Type:Organization
Organization Name:HONG CATHERINE TRINH MEDICA GROUP LLP
Other - Org Name:HONG CATHERINE TRINH MEDICAL GROUP LTD LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:HONG
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-983-2000
Mailing Address - Street 1:3615 PROFESSIONAL DR
Mailing Address - Street 2:STE B
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642
Mailing Address - Country:US
Mailing Address - Phone:409-983-2000
Mailing Address - Fax:409-983-1827
Practice Address - Street 1:3615 PROFESSIONAL DR
Practice Address - Street 2:STE B
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642
Practice Address - Country:US
Practice Address - Phone:409-983-2000
Practice Address - Fax:409-983-1827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9544208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172749701Medicaid
TX172749701Medicaid