Individual
IRENE G TINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 E 4TH ST, SUITE 300, ODESSA, TX 79761-5100
(432) 337-4347
(432) 337-1657
Mailing address
605 E 4TH ST, SUITE 300, ODESSA, TX 79761-5100
(432) 337-4347
(432) 337-1657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
254577
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254577
LICENSE
TX
Enumeration date
01/22/2007
Last updated
05/13/2009
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