Burdine, Travis

Burdine, Travis is an individual health care provider with primary practice located at 3005 Sw 129Th St , Oklahoma City OK 73170-2019. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Burdine, Travis can be contacted via phone (405) 831-6996.

Contact Information

Primary practice address
3005 Sw 129Th St Oklahoma City OK 73170-2019
Phone: (405) 831-6996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X Oklahoma

Profile Details

NPI number 1871810663
LBN Legal business name Burdine, Travis
Credentials IRT
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated Mar 11th, 2026 - about 8 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871810663 NPPES
Oklahoma MEDICAID 100685660D
Oklahoma MEDICAID 100685660A

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