Organization
TOTAL TRAUMA CARE, PLLC
Active
Other names
Advent Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY TREVATHAN (CREDENTIALING SPECIALIST)
(254) 340-4046
Entity
Organization
Contact information
Practice address
5100 FRANKLIN AVE STE C, WACO, TX 76710-6922
(888) 624-6882
(888) 882-4498
Mailing address
PO BOX 22237, BELFAST, ME 04915-4473
(888) 624-6882
(888) 882-4498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338817501
—
TX
Enumeration date
02/19/2014
Last updated
04/17/2018
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