Conklin, Travis
Conklin, Travis is an individual health care provider with primary practice located at 7777 Forest Ln Suite C-106, Dallas TX 75230-2505. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Conklin, Travis can be contacted via phone (214) 823-7090.Contact Information
Primary practice address
7777 Forest Ln Suite C-106
Dallas TX 75230-2505
Phone: (214) 823-7090
Fax: (214) 823-1644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 757 - OPA-C CERT # | |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | CERT 757 |
Profile Details
NPI number | 1659596922 |
---|---|
LBN Legal business name | Conklin, Travis |
Credentials | OPA C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2007 |
Last updated | Oct 8th, 2008 - about 17 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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