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General NPI Number Information
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NPI Number | 1003864943
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Entity Type | Individual
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Provider Name | JO ANN F. TRAVIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3500 GASTON AVE DEPARTMENT OF ANESTHESIOLOGY
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City | DALLAS
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State | TX
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Zip | 75246-2096
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Country | US
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Telephone | 214-549-4835
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Fax | 469-327-9314
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Provider Business Mailing Address
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Address Line | 7111 CLIFFBROOK DR
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City | DALLAS
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State | TX
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Zip | 75254-8003
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Country | US
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Telephone | 972-239-2896
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Fax | 469-327-9314
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E7757
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License Number State | TX
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