Individual
TRAVIS L BYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 ESTE ES RD, TAOS, NM 87571-6669
(575) 758-7263
(575) 758-3535
Mailing address
PO BOX 2205, EL PRADO, NM 87529-2205
(203) 980-7702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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