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NPI Code Detail

MEDICARE: ANITHA TINU

MEDICARE: ANITHA TINU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner683975TX

General Provider Information

NPI Number : 1023354693
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITHA TINU
Provider Business Mailing Address
First Line : 1208 CEDAR VALLEY DR
Second Line :
City : IRVING
State : TX
Zip : 75063-4415
Country : US
Telephone Number : 972-506-3007
Fax Number : 972-506-3007
Provider Business Practice Location Address
First Line : 1999 FOREST RIDGE DR
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5724
Country : US
Telephone Number : 214-492-3917
Fax Number : 972-506-3007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2012
Last Update Date : 10/31/2025

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Directions to “ ANITHA TINU ” Practice Location

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