Individual
TRAVIS J BURKHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12470 TRAIL OAKS DR, OKLAHOMA CITY, OK 73120-9118
(918) 689-6144
Mailing address
12470 TRAIL OAKS DR, OKLAHOMA CITY, OK 73120-9118
(918) 689-6144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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