Healthcare Provider Details

I. General information

NPI: 1801893102
Provider Name (Legal Business Name): THOMAS DEAN TINSMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26110 HIGHWAY 45
HACKETT AR
72937-4011
US

IV. Provider business mailing address

PO BOX 349
HACKETT AR
72937-0349
US

V. Phone/Fax

Practice location:
  • Phone: 479-650-0163
  • Fax:
Mailing address:
  • Phone: 479-650-0163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR2844
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: