Healthcare Provider Details

I. General information

NPI: 1780070110
Provider Name (Legal Business Name): TRAVIS M HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N ALVERNON WAY STE 205
TUCSON AZ
85711-1847
US

IV. Provider business mailing address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8000
  • Fax: 520-694-8005
Mailing address:
  • Phone: 520-694-0111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number63936
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: