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NPI Code Detail

MEDICARE: TRAVIS COBB DO

MEDICARE: TRAVIS COBB DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianLL83229SC
2207Q00000XFamily Medicine Physician2023034692MO

General Provider Information

NPI Number : 1033734413
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS COBB DO
Provider Business Mailing Address
First Line : 853 N CHURCH ST STE 510
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3077
Country : US
Telephone Number : 864-560-6193
Fax Number :
Provider Business Practice Location Address
First Line : 2024 DORSETT VLG
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-2208
Country : US
Telephone Number : 314-590-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2020
Last Update Date : 04/21/2026

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Directions to “ TRAVIS COBB DO” Practice Location

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