Provider Demographics
NPI:1932717345
Name:TRINITY INTEGRATED HEALTHCARE, PLLC
Entity type:Organization
Organization Name:TRINITY INTEGRATED HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:GOOLSBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-460-9615
Mailing Address - Street 1:14005 NOTTING HILL DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-4937
Mailing Address - Country:US
Mailing Address - Phone:214-460-9615
Mailing Address - Fax:
Practice Address - Street 1:26743 US HIGHWAY 380 E STE 100
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-8309
Practice Address - Country:US
Practice Address - Phone:972-347-3400
Practice Address - Fax:972-675-7742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty