Tyson Charles Purdy in Lubbock - Student In An Organized Health Care Education/training Program
Tyson Charles Purdy - NPI 1346402328
Tyson Charles Purdy is a Student In An Organized Health Care Education/training Program in Lubbock, Texas. Tyson Charles Purdy practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Tyson Charles Purdy is 1346402328. The last update date is 2021-12-01.
Tyson Charles Purdy's current location address is 4515 Marsha Sharp Fwy, Lubbock, Texas. You can contact this provider via phone number 8067447223 and fax number 8067403325. The mailing address for Tyson Charles Purdy is 4515 Marsha Sharp Fwy, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyson Charles Purdy |
|---|---|
| Address | 4515 Marsha Sharp Fwy, Lubbock, Texas |
| Phone Number | 8067447223 |
| Fax Number | 8067403325 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1346402328 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 4515 Marsha Sharp Fwy |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794072520 |
| Phone Number | 8067447223 |
| Fax Number | 8067403325 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | BP10031034 |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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What is the unique identifier code issued to Tyson Charles Purdy by the Centers for Medicare & Medicaid Services?
The Tyson Charles Purdy has been assigned the NPI (National Provider Identifier) 1346402328. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tyson Charles Purdy?
The Tyson Charles Purdy is situated at 4515 Marsha Sharp Fwy, in the city of Lubbock, state of TX, with the zip code 794072520.
What is the Tyson Charles Purdy's area of specialization and corresponding taxonomy classification?
The Tyson Charles Purdy's specialty field is Student In An Organized Health Care Education/training Program, and it falls under the taxonomy code 390200000X, which categorizes healthcare providers based on their specialties.
When did the Tyson Charles Purdy receive its 1346402328?
The Tyson Charles Purdy was issued its 1346402328 on 2008-06-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Tyson Charles Purdy most recently updated or revised?
The information pertaining to Tyson Charles Purdy, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-01.
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