Holly Jen Tyson, P.A.-C

NPI #1699819953 in Lubbock, Texas

Provider Information

NPI Number: 1699819953
Entity Type: Individual
Name: Holly Jen Tyson, P.A.-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Feb 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3811 24TH ST
City: Lubbock
State: Texas
ZIP Code: 79410-1813
Phone: (806) 796-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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