Rodriguez Travis, Maria Theresa

Rodriguez Travis, Maria Theresa is an sole proprietor health care provider with primary practice located at 5 Lorian Cir , Little Rock AR 72212-2662. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Rodriguez Travis, Maria Theresa can be contacted via phone (501) 912-3953.

Contact Information

Primary practice address
5 Lorian Cir Little Rock AR 72212-2662
Phone: (501) 912-3953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C6465 Arkansas
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X C-6465 Arkansas

Profile Details

NPI number 1285735654
LBN Legal business name Rodriguez Travis, Maria Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 15th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285735654 NPPES
Arkansas MEDICAID 115541001

Popular Providers