Individual
TRAVIS LEE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 S CLEAR CREEK RD, KILLEEN, TX 76549-5775
(254) 618-1888
(254) 519-5264
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R4660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8W8261
BCBS
TX
Enumeration date
10/05/2006
Last updated
09/04/2020
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