Individual
TRAVIS A MOTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
800 5TH AVE STE 400, FORT WORTH, TX 76104-7305
(817) 702-9100
(817) 882-9242
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1559
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159461601
—
TX
01
—
8K7417
BCBS
TX
01
—
P00258969
RAILROAD MEDICARE
TX
Enumeration date
06/15/2006
Last updated
10/29/2018
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