Individual provider · Type 1 NPI

Tyisha Barrett, MMS, PA-C

Surgical Physician Assistant · Houston, TX

NPI number 1225790132 Active

Practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Mailing address

7023 Kayleigh Ct
Sugar Land, TX 77479-5534

Specialties and licenses

TaxonomyCodeLicense
Surgical Oncology Physician 2086X0206XPA14871 (TX)
Physician Assistant 363A00000XPA14871 (TX)
Medical Physician Assistant 363AM0700XPA14871 (TX)
Surgical Physician Assistant Primary 363AS0400XPA14871 (TX)

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About NPI 1225790132

Tyisha Barrett, MMS, PA-C's National Provider Identifier is 1225790132, issued on Oct 7, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Oct 7, 2021.