1811160062 NPI number — GWEN TINKIS NP

Table of content: GWEN TINKIS NP (NPI 1811160062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811160062 NPI number — GWEN TINKIS NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TINKIS
Provider First Name:
GWEN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811160062
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 TIMBERLINE DR S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLLEYVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76034-3508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-329-8364
Provider Business Mailing Address Fax Number:
817-329-1285

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 E HWY 114
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SOUTHLAKE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76092-5242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-329-8364
Provider Business Practice Location Address Fax Number:
817-329-1285
Provider Enumeration Date:
04/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  571839 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 571839 . This is a "NP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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