Individual
ASHLEY CAROL TINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
950 W MAGNOLIA AVE, FORT WORTH, TX 76104
(817) 336-5060
(817) 336-1744
Mailing address
950 W MAGNOLIA AVE, FORT WORTH, TX 76104
(817) 336-5060
(817) 336-1744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1587087
UNISYS MEDICAID
LA
01
—
8S4301
AETNA
—
01
—
P00235153
RAILROAD MEDICARE
—
Enumeration date
06/17/2006
Last updated
07/08/2007
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