Individual
TRAVIS VAN METER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9101 N CENTRAL EXPY STE 550, DALLAS, TX 75231-5947
(469) 458-9800
(469) 458-9900
Mailing address
111 STOW AVE STE 200, CUYAHOGA FALLS, OH 44221-2560
(330) 564-2659
(330) 546-7758
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
J4583
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
J4583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039713501
—
TX
05
—
039713504
—
TX
Enumeration date
05/05/2006
Last updated
06/02/2020
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