Individual provider · Type 1 NPI

Michael Travis, PA-C

Medical Physician Assistant · Lubbock, TX

NPI number 1578712196 Active

Practice location

6104 Avenue Q South Dr
Lubbock, TX 79412-3700

Fax (806) 472-3432

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01707 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1578712196

Michael Travis, PA-C's National Provider Identifier is 1578712196, issued on Sep 18, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lubbock, TX. The record was last updated on Sep 18, 2008.