Caudill, Travis M.

Caudill, Travis M. is an individual health care provider with primary practice located at 600 Cooper Drive Suite 100, Wylie TX 75098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Caudill, Travis M. can be contacted via phone (972) 442-7325.

Contact Information

Primary practice address
600 Cooper Drive Suite 100 Wylie TX 75098
Phone: (972) 442-7325
Fax: (972) 442-8348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L7325 Texas

Profile Details

NPI number 1578512059
LBN Legal business name Caudill, Travis M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 29th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578512059 NPPES
Texas Other P00252592 RR MEDICARE
Texas MEDICAID 1711582-02 RR MEDICARE

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