MEDICARE: TRISTEN HUSEMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1609705185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISTEN HUSEMAN

Provider Business Mailing Address
First Line	:	45 FANNIN DR
Second Line	:
City	:	TULIA
State	:	TX
Zip	:	79088-1405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 SW 45TH AVE STE T
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79109-5676
Country	:	US
Telephone Number	:	806-355-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ TRISTEN HUSEMAN ” Practice Location

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