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Organization

SANDRA E TINLEY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA E TINLEY MD (OWNER)
(817) 641-2600
Entity
Organization

Contact information

Practice address
505 N RIDGEWAY DR, SUITE 160, CLEBURNE, TX 76033-5118
(817) 240-6110
Mailing address
505 N RIDGEWAY DR, SUITE 160, CLEBURNE, TX 76033-5118
(817) 641-2600
(817) 641-2602

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M5544
TX

Other

Enumeration date
04/12/2010
Last updated
03/30/2016
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