Mcclure, Travis Knox
Mcclure, Travis Knox is an individual health care provider with primary practice located at 3215 N. North Hills Blvd. , Fayetteville AR 72703-4424. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mcclure, Travis Knox can be contacted via phone (479) 463-7102.Contact Information
Primary practice address
3215 N. North Hills Blvd.
Fayetteville AR 72703-4424
Phone: (479) 463-7102
Fax: (479) 463-7864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-6322 | Arkansas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E-6322 | Arkansas |
Profile Details
| NPI number | 1558529347 |
|---|---|
| LBN Legal business name | Mcclure, Travis Knox |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2008 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1558529347 | NPPES |
| Arkansas | MEDICAID | 185452001 |
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