Individual
DR. THOMAS W TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
59TH MEDICAL WING, 2200 BERGQUIST DRIVE, SUITE 1, LACKLAND AFB, TX 78236-5300
(210) 292-6060
Mailing address
59TH MEDICAL WING, 2200 BERGQUIST DRIVE, SUITE 1, LACKLAND AFB, TX 78236-5300
(210) 292-6060
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
ME51907
FL
Other
Enumeration date
01/26/2007
Last updated
09/11/2007
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