Avara, William Travis
Avara, William Travis is an individual health care provider with primary practice located at 2525 Telephone Rd , Pascagoula MS 39567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Avara, William Travis can be contacted via phone (228) 762-4483.Contact Information
Primary practice address
2525 Telephone Rd
Pascagoula MS 39567
Phone: (228) 762-4483
Fax: (228) 769-0406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 09935 | Mississippi |
Profile Details
| NPI number | 1326062969 |
|---|---|
| LBN Legal business name | Avara, William Travis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Apr 28th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326062969 | NPPES |
| Mississippi | MEDICAID | 00115538 | |
| Mississippi | Other | D20018482 |
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