HOLLY JEN TYSON

LUBBOCK, TX
NPI1699819953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA00464)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
-- HOLLY JEN TYSON P.A.-C
3811 24TH ST
LUBBOCK, TX 79410-1813
Phone number: 806-796-0202
Mailing Address
-- HOLLY JEN TYSON P.A.-C
3811 24TH ST
LUBBOCK, TX 79410-1813
Phone number: 806-796-0202
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