Individual
DR. JAMES ELDRID TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13737 NOEL ROAD, SUITE 1400, DALLAS, TX 75240-2004
(972) 715-5000
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F8777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128837502
—
TX
05
—
128837503
—
TX
05
—
128837506
—
TX
05
—
128837507
—
TX
01
—
128837508
MEDICAID CSHCN
TX
01
—
83939K
BCBS
TX
Enumeration date
12/29/2005
Last updated
05/21/2014
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