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Individual
DR. TRAVIS MOFFATT
Active
Individual
DR. TRAVIS MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6090TG
TX
152WV0400X
Vision Therapy Optometrist
6090TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044FA
BCBS
TX
Enumeration date
10/24/2006
Last updated
03/06/2024
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