MEDICARE: TRAVIS DOERING

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
1	207X00000X	Orthopaedic Surgery Physician	61076	TN
2	207X00000X	Orthopaedic Surgery Physician	T0467	TX

General Provider Information

NPI Number	:	1588059935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS DOERING

Provider Business Mailing Address
First Line	:	4316 JAMES CASEY ST STE 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1116
Country	:	US
Telephone Number	:	512-266-3377
Fax Number	:

Provider Business Practice Location Address
First Line	:	4316 JAMES CASEY ST STE 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1116
Country	:	US
Telephone Number	:	512-266-3377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	02/02/2026

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Directions to “ TRAVIS DOERING ” Practice Location

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