MEDICARE: DR. TRAVIS LEE DOWNS DC

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	111N00000X	Chiropractor	12030	TX

General Provider Information

NPI Number	:	1689921769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS LEE DOWNS DC

Provider Business Mailing Address
First Line	:	6333E MOCKINGBIRD LN 260
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-2368
Country	:	US
Telephone Number	:	214-821-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	6333E MOCKINGBIRD LN 260
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-2368
Country	:	US
Telephone Number	:	214-821-2525
Fax Number	:	214-821-2548

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

Provider Enumeration Date	:	08/08/2012
Last Update Date	:	07/30/2015

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