Individual
TRAVIS SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 W GATEHOUSE DR APT H, METAIRIE, LA 70001-7572
(225) 802-8667
Mailing address
213 W GATEHOUSE DR APT H, METAIRIE, LA 70001-7572
(225) 802-8667
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
308794
LA
Other
Enumeration date
03/20/2013
Last updated
01/10/2019
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