Tyler Jack Branham, PA-C, ATC

NPI #1679143812 in Lubbock, Texas

Provider Information

NPI Number
1679143812
Entity Type
Individual
Name
Tyler Jack Branham, PA-C, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C, ATC
Enumeration Date
Jun 29, 2021
Last Updated
Aug 11, 2021

Practice Location

Address
4110 22ND PL
State
Texas
ZIP Code
79410-1122
Phone
(806) 792-4329

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Physician Assistant

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