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HOLLY JEN TYSON P.A.-C
NPI 1699819953
Physician Assistant in Lubbock, TX

Active since February 19, 2007
3811 24TH ST, LUBBOCK, TX 79410(806) 796-0202(806) 796-0496 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Jen Tyson P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY JEN TYSON P.A.-C (NPI 1699819953) is an individual physician assistant in Lubbock, Texas, licensed in Texas (PA00464) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1699819953
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY JEN TYSONCredential: P.A.-C
Location Address3811 24TH STLubbock, TX 79410-1813
Mailing Address3811 24th StLubbock, TX 79410-1813 · (806) 796-0202 · Fax (806) 796-0496
Phone(806) 796-0202
Fax(806) 796-0496
Sole ProprietorYes
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699819953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA00464
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3811 24TH ST, Lubbock, TX 79410
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Other Identifiers 4

OtherPA00464TX · State Id No.
MedicaidPA00464TX
Medicare ID-Type Unspecified8ON552TX
Medicare UPINS11192TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Tyson's NPI number?

The NPI number for Holly Tyson is 1699819953. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Holly Tyson located?

Holly Tyson practices at 3811 24th St, Lubbock, TX 79410. The listed phone number is (806) 796-0202.

What is Holly Tyson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Holly Tyson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.