Individual
DR. TRAVIS HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2034 GARRETT FARMS ROW, SHREVEPORT, LA 71106-2572
(304) 919-0530
Mailing address
2034 GARRETT FARMS ROW, SHREVEPORT, LA 71106-2572
(304) 919-0530
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.204300
LA
207P00000X
Emergency Medicine Physician
ME 112510
FL
Other
Enumeration date
04/14/2009
Last updated
08/16/2023
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