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Individual
TRAVIS JORDAN WILDER
Active
Individual
TRAVIS JORDAN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
102742483-1205
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
S2539
TX
Other
Enumeration date
07/27/2010
Last updated
02/18/2025
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