MEDICARE: MR. TRAVIS LARAY HARTFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1023366002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TRAVIS LARAY HARTFIELD

Provider Business Mailing Address
First Line	:	7417 NW 115TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-2712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7417 NW 115TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-2712
Country	:	US
Telephone Number	:	405-657-0303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	08/21/2012

Similar Medicare Providers

1376774406 — DR. BRYAN L WOMACK O.D.
Practice Location Address:

9424 N MAY AVE
OKLAHOMA CITY, OK
73120-2712

Practice Phone: 405-751-8851
Practice Fax: 405-751-5058

1225329659 — PH DENTAL PLLC
Practice Location Address:

2712 SW 29TH ST
OKLAHOMA CITY, OK
73119-1806

Practice Phone: 405-212-4549
Practice Fax:

1912284167 — BRIGHT EYES FAMILY EYECARE, PLLC
Practice Location Address:

9424 N MAY AVE
OKLAHOMA CITY, OK
73120-2712

Practice Phone: 405-751-8851
Practice Fax: 405-751-5058

1104167204 — GRAND LAKE MENTAL HEALTH CENTER, INC.
Practice Location Address:

9430 N MAY AVE
OKLAHOMA CITY, OK
73120-2712

Practice Phone: 405-608-8041
Practice Fax:

1306253513 — JESSICA BROWN
Practice Location Address:

2201 NW 122ND ST APT 2712
OKLAHOMA CITY, OK
73120-8417

Practice Phone: 214-415-5464
Practice Fax:

1821553447 — KB DENTISTRY PLLC
Practice Location Address:

2712 SW 29TH ST
OKLAHOMA CITY, OK
73119-1806

Practice Phone: 405-212-4549
Practice Fax: 405-212-4548

Directions to “ MR. TRAVIS LARAY HARTFIELD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.