Healthcare Provider Details

I. General information

NPI: 1225666449
Provider Name (Legal Business Name): TRAVIS MEADOWS H.I.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 WHITE BRIDGE PIKE STE 106
NASHVILLE TN
37205-1449
US

IV. Provider business mailing address

99 WHITE BRIDGE PIKE STE 106
NASHVILLE TN
37205-1449
US

V. Phone/Fax

Practice location:
  • Phone: 615-354-8011
  • Fax: 615-354-8013
Mailing address:
  • Phone: 615-354-8011
  • Fax: 615-354-8013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number871
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: