Provider Demographics
NPI:1679276216
Name:TRINITY CENTER - EP LLC
Entity type:Organization
Organization Name:TRINITY CENTER - EP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-682-4004
Mailing Address - Street 1:2000 S MAIN ST STE 2009
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-5416
Mailing Address - Country:US
Mailing Address - Phone:956-682-4004
Mailing Address - Fax:956-682-4049
Practice Address - Street 1:2014 N BIBB AVE
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-3992
Practice Address - Country:US
Practice Address - Phone:830-335-2228
Practice Address - Fax:956-725-6738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)