Travis, Michael

Travis, Michael is an sole proprietor health care provider with primary practice located at 6104 Avenue Q South Dr , Lubbock TX 79412-3700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Travis, Michael can be contacted via phone (806) 472-3430.

Contact Information

Primary practice address
6104 Avenue Q South Dr Lubbock TX 79412-3700
Phone: (806) 472-3430
Fax: (806) 472-3432
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01707 Texas

Profile Details

NPI number 1578712196
LBN Legal business name Travis, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2008
Last updated Sep 18th, 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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