Individual
PAIGE ALANA TRAVILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 AUGUSTA BEND DR, HUTTO, TX 78634-5274
(512) 659-4629
Mailing address
1521 AUGUSTA BEND DR, HUTTO, TX 78634-5274
(512) 659-4629
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
39779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
976272128
UNITED HEALTHCARE
TX
Enumeration date
01/29/2020
Last updated
01/29/2020
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