Individual
ELEANOR TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6130 PARKWAY DR, CORPUS CHRISTI, TX 78414-2455
(361) 883-6211
(361) 882-4891
Mailing address
4455 S PADRE ISLAND DR STE 11, CORPUS CHRISTI, TX 78411-5163
(361) 883-6211
(361) 882-4891
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L8984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1656902-02
—
TX
Enumeration date
03/21/2006
Last updated
08/28/2019
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