Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | N2322 | TX |
NPI | 1003097957 |
---|---|
Provider Name | Dr. Brandon A Tinkler |
First Address | Dallas, TX 75284-6098 |
Second Address | Tyler, TX 75701-4443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2007 |
Last Update Date | 01/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
216393303 | (05) | TX |
75-2616977-021 | TRICARE (01) | TX |
P01569224 | RAIL ROAD MEDICARE (01) | TX |