Individual provider · Type 1 NPI

Ty Whisenant, MD, PhD

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1013575547 Active

Practice location

3601 4th St # Ms 9410
Lubbock, TX 79430-0002

Call (806) 743-6840 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1013575547

Ty Whisenant, MD, PhD's National Provider Identifier is 1013575547, issued on May 30, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on May 30, 2019.