Travis, Christopher T

Travis, Christopher T is an individual health care provider with primary practice located at 3400 W Tecumseh Rd Suite 101, Norman OK 73072-1810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Travis, Christopher T can be contacted via phone (405) 360-6764.

Contact Information

Primary practice address
3400 W Tecumseh Rd Suite 101 Norman OK 73072-1810
Phone: (405) 360-6764
Fax: (405) 360-6769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1404 Oklahoma

Profile Details

NPI number 1831127059
LBN Legal business name Travis, Christopher T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 28th, 2014 - about 11 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 1831127059 NPPES
Oklahoma MEDICAID 200067350A

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