Provider Demographics
NPI:1518426899
Name:TRINITY HEALTHCARE OF WEST TEXAS, INC.
Entity Type:Organization
Organization Name:TRINITY HEALTHCARE OF WEST TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-557-8110
Mailing Address - Street 1:4700 E UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-8105
Mailing Address - Country:US
Mailing Address - Phone:432-557-8110
Mailing Address - Fax:
Practice Address - Street 1:4700 E UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-8105
Practice Address - Country:US
Practice Address - Phone:432-557-8110
Practice Address - Fax:432-580-9393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health