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1578712196
MICHAEL TRAVIS
LUBBOCK, TX
NPI
1578712196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA01707)
Enumeration Date
2008-09-18
Last Update Date
2008-09-18
Business Address
Mr. MICHAEL TRAVIS PA-C
6104 AVENUE Q SOUTH DR
LUBBOCK, TX 79412-3700
Phone number: 806-472-3430
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Mailing Address
Mr. MICHAEL TRAVIS PA-C
6104 AVENUE Q SOUTH DR
LUBBOCK, TX 79412-3700
Phone number: 806-472-3430
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