MEDICARE: KAITLIN TINDEL PHARMD

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
1	208U00000X	Clinical Pharmacology Physician	61204	TX

General Provider Information

NPI Number	:	1033056858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN TINDEL PHARMD

Provider Business Mailing Address
First Line	:	718 PRESTON PL
Second Line	:
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-5700
Country	:	US
Telephone Number	:	210-367-0868
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	214-456-7742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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Directions to “ KAITLIN TINDEL PHARMD” Practice Location

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