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Organization
TRAYNHAM MEDICAL PA
Active
Organization
TRAYNHAM MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A TRAYNHAM DO (PRESIDENT)
(940) 242-0300
Entity
Organization
Contact information
Practice address
15080 FM 156 STE D, JUSTIN, TX 76247-7923
(940) 242-0300
(940) 242-0278
Mailing address
15080 FM 156 STE D, JUSTIN, TX 76247-7923
(940) 242-0300
(940) 242-0278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163103801
—
TX
01
—
77LM
BCBS TX
—
Enumeration date
06/20/2006
Last updated
05/07/2020
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