Provider Demographics
NPI:1366413247
Name:TINSLEY ASSOCIATES, LLP
Entity type:Organization
Organization Name:TINSLEY ASSOCIATES, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BALOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-537-8656
Mailing Address - Street 1:PO BOX 131749
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75713-1749
Mailing Address - Country:US
Mailing Address - Phone:903-533-0290
Mailing Address - Fax:903-533-0298
Practice Address - Street 1:1510 E GRANDE BLVD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3978
Practice Address - Country:US
Practice Address - Phone:903-533-0290
Practice Address - Fax:903-533-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016947251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1004371Medicaid
TX1012782Medicaid
TX1012783Medicaid
TX155979104Medicaid
TX1012781Medicaid
TX155979101Medicaid
TX155979103Medicaid
TX001012780Medicaid
TX1012780Medicaid
TX155979102Medicaid
TX1012783Medicaid