Organization
LEAN 3, LLC
Active
Other names
Thinique Keller
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TINLEY MD (PRINCIPAL)
(817) 717-5100
Entity
Organization
Contact information
Practice address
4420 HERITAGE TRACE PKWY, STE 308, FORT WORTH, TX 76244-8903
(817) 717-5100
Mailing address
4420 HERITAGE TRACE PKWY, STE 308, FORT WORTH, TX 76244-8903
(817) 717-5100
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M7690
TX
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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