Individual
MARIA THERESA RODRIGUEZ TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 LORIAN CIR, LITTLE ROCK, AR 72212-2662
(501) 912-3953
Mailing address
5 LORIAN CIR, LITTLE ROCK, AR 72212-2662
(501) 912-3953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6465
AR
208VP0000X
Pain Medicine Physician
C-6465
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115541001
—
AR
Enumeration date
09/26/2006
Last updated
07/15/2016
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