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Individual

TRAVIS TRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
921 SHILOH RD STE B300, TYLER, TX 75703-1434
(903) 258-9061
Mailing address
5380 OLD BULLARD RD, SUITE 600-264, TYLER, TX 75703-3607
(903) 330-6701

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
04/26/2017
Last updated
01/12/2023
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