Lean 3, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

M7690 Issued in TX

Legal business name

LEAN 3, LLC

Practice address

4420 Heritage Trace Pkwy
Ste 308
Fort Worth, TX 76244-8903

Phone

(817) 717-5100

NPI assigned

May 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Tinley, MD

Title

Principal

Phone

(817) 717-5100

Specialties & licenses 1

Addresses

Other names 1

• Thinique Keller Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1811375645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 HERITAGE TRACE PKWY",
            "address_2": "STE 308",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448903",
            "telephone_number": "817-717-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 HERITAGE TRACE PKWY",
            "address_2": "STE 308",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448903",
            "telephone_number": "817-717-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAN 3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "TINLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "817-717-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M7690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thinique Keller",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Lewis Leake
• Ashley Caitlan Leal, MSN, RN, CPNP-PC
• Briana Leal, DPT
• Lucas Leal, DPT
• Sharon Rumley Leal, LPC
• Stephanie Nicole Lear, DC
• Dana Jean Leatherwood, PMHNP
• Thomas A. Leavens, M.D.
• Courtney P Leazer, LCDC, LPC
• Christopher Leba, DO

• Orthopaedic Surgery of the Spine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.