Provider Demographics
NPI:1790398519
Name:TRINITI OBGYN AND MEDSPA, PLLC
Entity Type:Organization
Organization Name:TRINITI OBGYN AND MEDSPA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-989-8689
Mailing Address - Street 1:PO BOX 940880
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-7880
Mailing Address - Country:US
Mailing Address - Phone:281-989-8689
Mailing Address - Fax:
Practice Address - Street 1:10902 KATY FWY APT 503
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-4918
Practice Address - Country:US
Practice Address - Phone:281-989-8689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service