Provider Demographics
NPI:1407054513
Name:TRINITY G&G, INC
Entity Type:Organization
Organization Name:TRINITY G&G, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-225-2933
Mailing Address - Street 1:5002 CHANCELLOR ROW
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78416-2106
Mailing Address - Country:US
Mailing Address - Phone:361-225-2933
Mailing Address - Fax:361-225-2935
Practice Address - Street 1:5002 CHANCELLOR ROW
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416-2106
Practice Address - Country:US
Practice Address - Phone:361-225-2933
Practice Address - Fax:361-225-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117062261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care