Trina Health Care Center Of Tyler Llc

LBN: Diabetic Renewal Center Llc
Trina Health Care Center Of Tyler Llc is an health care organization with primary practice located at 1015 Pruitt Pl Ste 105 , Tyler TX 75703-1154. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Infusion Therapy. Ambulatory Health Care Facilities / Infusion Therapy is the primary health care specialty. Diabetic Renewal Center Llc can be contacted via phone (903) 528-6000, or through Dethlefsen, Jeff E via phone (903) 258-6000.

Contact Information

Primary practice address
1015 Pruitt Pl Ste 105 Tyler TX 75703-1154
Phone: (903) 528-6000
Fax: (903) 526-0565
Website:
Map and Directions
Authorized official contact:
Name: Dethlefsen, Jeff E
Phone: (903) 258-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F3205 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X 261Q10500X Texas

Profile Details

NPI number 1750764189
LBN Legal business name Diabetic Renewal Center Llc
DBA Doing business as Trina Health Care Center Of Tyler Llc
Authorized official Dethlefsen, Jeff E
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2015
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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