Motley, Travis A

Motley, Travis A is an individual health care provider with primary practice located at 800 5Th Ave Ste 400 , Fort Worth TX 76104-7305. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Motley, Travis A can be contacted via phone (817) 702-9100.

Contact Information

Primary practice address
800 5Th Ave Ste 400 Fort Worth TX 76104-7305
Phone: (817) 702-9100
Fax: (817) 882-9242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1559 Texas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1559 Texas

Profile Details

NPI number 1003850991
LBN Legal business name Motley, Travis A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 29th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003850991 NPPES
Texas MEDICAID 159461601
Texas Other P00258969
Texas Other 8K7417

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