Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER JACK BRANHAM, PA-C, ATC
ActiveTYLER JACK BRANHAM, PA-C, ATC is a Physician Assistant healthcare provider located in LUBBOCK, Texas. NPI 1679143812 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LUBBOCK, TX
Registration Details
- NPI Number
- 1679143812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2021 (5.1119665530566 yrs)
- Last Updated
- Aug 11, 2021
- Licenses
-
AT6761 (TX)PA14675 (TX)
Practice Information
- Address
-
4110 22ND PLLUBBOCK, TX, 794101122Browse TX providers · Browse ZIP 79410
- Phone
- 8067924329
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LUBBOCK, TX
| Name | Credential | NPI |
|---|---|---|
| JONI CLINE | PA | 1629072277 |
| STEPHANIE KAY CAPEHART | PA-C | 1639175052 |
| PHYLLIS ROSE PETERSON | PA | 1346246634 |
| TONI ANN CLINE | PA-C | 1831195999 |
| MARILYN NOBLE | P.A. | 1417946807 |
| STACY BOONE | P.A. | 1326021734 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.