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NPI Code Detail

MEDICARE: JASON C TINLEY, MD, PLLC

MEDICARE: JASON C TINLEY, MD, PLLC
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
1207XS0117XOrthopaedic Surgery of the Spine PhysicianM7690TX

General Provider Information

NPI Number : 1871739383
Entity Type Code : Organization
Provider Name (Legal Business Name) : JASON C TINLEY, MD, PLLC
Provider Business Mailing Address
First Line : 4441 BRYANT IRVIN RD N
Second Line :
City : FT WORTH
State : TX
Zip : 76107-7338
Country : US
Telephone Number : 817-916-4685
Fax Number :
Provider Business Practice Location Address
First Line : 4441 BRYANT IRVIN RD N
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7338
Country : US
Telephone Number : 817-916-4685
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. JASON CHRISTOPHER TINLEY
Credential : M.D.
Telephone Number : 817-916-4685
Provider Enumeration Date : 01/05/2009
Last Update Date : 05/27/2015

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