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LEAN 3 LLC NPI 1811375645


NPI Information

NPI: 1811375645
Provider Name: LEAN 3, LLC

Doing Business As: THINIQUE KELLER

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
4420 HERITAGE TRACE PKWY
STE 308
FORT WORTH, TX
ZIP 76244
Phone: (817) 717-5100
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LEAN 3, LLC is an orthopaedic surgery of the spine orthopaedic surgery in Fort Worth, TX. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. LEAN 3, LLC NPI is 1811375645. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Thinique Keller.

The provider's business location address is:

4420 HERITAGE TRACE PKWY
STE 308
FORT WORTH, TX
ZIP 76244-903
Phone: (817) 717-5100

The provider's authorized official is Jason Tinley .
The authorized official title is Principal and has the following contact phone number (817) 717-5100.

The enumeration date for this NPI number is 5/13/2015 and was last updated on 5/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineM7690TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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