Individual
TRAVIS RYAN WARFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9000
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1215
OK
363AM0700X
Medical Physician Assistant
1215
OK
363AS0400X
Surgical Physician Assistant
1215
OK
Other
Enumeration date
11/08/2005
Last updated
07/28/2025
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