Healthcare Provider Details

I. General information

NPI: 1164747390
Provider Name (Legal Business Name): TRAVIS ATKINSON ARNOLD-LLOYD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
US

IV. Provider business mailing address

HCA TRIDENT HOSPITAL 9229 MEDICAL PLAZA BLVD89191-6600
CHARLESTON SC
29406
US

V. Phone/Fax

Practice location:
  • Phone: 702-653-2273
  • Fax: 314-362-5743
Mailing address:
  • Phone: 843-764-1730
  • Fax: 843-764-1731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number22915
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036158638
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number73167
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number2021042920
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number87515
License Number StateSC
# 6
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA170786
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: