Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699819953 Individual Practitioner Female Practitioner

Holly Jen Tyson , PA-C

Physician Assistant • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Holly Tyson, PA-C is a registered healthcare professional specializing in Physician Assistant in Lubbock, TX. Practice services are available at 3811 24TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3811 24th St

Lubbock, TX 794101813

Telephone 8067960202
Fax 8067960496
Associated Practice Facility / Clinic
🏢 Kim E Pershall Md Pa Facility NPI 1649456542

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
112 Specialists

Practicing in Lubbock, TX (11140 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA00464

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PA00464 (TX)
Commercial Insurance / Payer ID State Id No.
PA00464 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1497751663

Doctor of Medicine (M.D.)

Noel Cleveland

Audiologist

NPI 1700033800

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3811 24TH ST, LUBBOCK, TX 794101813 (Tel: 8067960202)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3811 24TH ST, LUBBOCK, TX 794101813 (Tel: 8067960202)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HOLLY TYSON, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA00464 in TX)

🟢
Initial NPI Registration & Enumeration February 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699819953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3811 24th St

Lubbock, TX 794101813

Phone: 8067960202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.