Branham, Tyler Jack

Branham, Tyler Jack is an individual health care provider with primary practice located at 4110 22Nd Pl , Lubbock TX 79410-1122. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Branham, Tyler Jack can be contacted via phone (806) 792-4329.

Contact Information

Primary practice address
4110 22Nd Pl Lubbock TX 79410-1122
Phone: (806) 792-4329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT6761 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14675 Texas

Profile Details

NPI number 1679143812
LBN Legal business name Branham, Tyler Jack
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2021
Last updated Aug 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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