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Individual

TRAVIS LEBEAU CASLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D2388
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033157104
TX
01
110011103
TEAM CHOICE - CORE
TX
01
4618201
AETNA
TX
01
8AM635
BCBS
TX
Enumeration date
04/11/2006
Last updated
09/22/2009
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