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Individual

DR. TRAVIS WADE VANDERGRIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-2400
(214) 645-2405
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-2400

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8359
TX
207R00000X
Internal Medicine Physician
2590
CO

Other

Enumeration date
02/13/2008
Last updated
02/13/2012
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