Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Jen Tyson, PA-C

Individual provider Physician Assistant · NPI 1699819953

Holly Jen Tyson, PA-C is a Physician Assistant in Lubbock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3811 24th St
Lubbock, TX 79410-1813
Phone: (806) 796-0202
Fax: (806) 796-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00464 (TX)

Record details

NPI number1699819953
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 19, 2007
Last updated in NPPESJuly 8, 2007

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