Provider Demographics
NPI:1578735346
Name:TRINITY PEDI-CARE INCORPORATED
Entity Type:Organization
Organization Name:TRINITY PEDI-CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:MBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-5757
Mailing Address - Street 1:8700 COMMERCE PARK DR
Mailing Address - Street 2:SUITE 215B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7497
Mailing Address - Country:US
Mailing Address - Phone:713-995-5757
Mailing Address - Fax:713-774-8282
Practice Address - Street 1:8700 COMMERCE PARK DR
Practice Address - Street 2:SUITE 215B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7497
Practice Address - Country:US
Practice Address - Phone:713-995-5757
Practice Address - Fax:713-774-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health