Individual
TYLER COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1307 CLEVELAND AVE, FRIONA, TX 79035-1121
(806) 250-2754
(806) 250-2801
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 782-0097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
822444
TX
363L00000X
Nurse Practitioner
Primary
AP138440
TX
363LF0000X
Family Nurse Practitioner
AP138440
TX
Other
Enumeration date
09/07/2018
Last updated
08/18/2021
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