Individual
TINA LINSALATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
621637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047HT
BLUE CROSS PROVIDER NUMBE
TX
01
—
89N952
BLUE CROSS PROVIDER NUMBE
TX
Enumeration date
10/18/2006
Last updated
10/24/2010
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