SearchTexas363A00000X

Tyler Branham, PA-C, ATC

NPI 1679143812 · on the registry since 2021

Practice

Address
4110 22nd Pl
Lubbock, TX 79410
Phone
(806) 792-4329
Organisation at this address
King And Burke, Llp
Csk Medical Partners
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas