Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | M7690 | TX |
NPI | 1184800732 |
---|---|
Provider Name | Dr. Jason Christopher Tinley |
First Address | Fort Worth, TX 76132-4261 |
Second Address | Fort Worth, TX 76132-4261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 13/09/2018 |