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1700978418
LUTHER B. TRAVIS
GALVESTON, TX
NPI
1700978418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0210X Pediatrics, Pediatric Nephrology
(Licence: TX D0003)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- LUTHER B. TRAVIS M.D.
301 UNIVERSITY BLVD
GALVESTON, TX 77555-1022
Phone number: 409-772-2222
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Mailing Address
-- LUTHER B. TRAVIS M.D.
301 UNIVERSITY BLVD PROVIDER ENROLLMENT - RT. 1022
GALVESTON, TX 77555-1022
Phone number: 409-747-0890
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