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General NPI Number Information
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NPI Number | 1275094856
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Entity Type | Individual
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Provider Name | TRAVIS CARLISLE SIMMONS MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 189 E AUSTIN ST STE 105
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4170
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Country | US
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Telephone | 830-327-0171
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Fax | 830-240-9354
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Provider Business Mailing Address
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Address Line | 189 E AUSTIN ST STE 105
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4170
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Country | US
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Telephone | 830-327-0171
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Fax | 830-240-9354
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0065665
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T6041
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License Number State | TX
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