Individual
TRAVIS WOODROW LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4001 COLISEUM DR STE 300, HAMPTON, VA 23666-6257
(757) 827-2025
(757) 275-9802
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1395
(281) 614-1256
(281) 614-1587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207503
VA
207Q00000X
Family Medicine Physician
BP10066732
TX
Other
Enumeration date
06/20/2019
Last updated
04/16/2025
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