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NPI Code Detail

MEDICARE: TRAVIS ANDREW MCALISTER DDS

MEDICARE: TRAVIS ANDREW MCALISTER DDS
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
1122300000XDentist29921TX
21223G0001XGeneral Practice Dentistry29921TX

General Provider Information

NPI Number : 1619384419
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS ANDREW MCALISTER DDS
Provider Business Mailing Address
First Line : 4455 HARRY WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-2402
Country : US
Telephone Number : 210-822-4664
Fax Number : 210-822-4878
Provider Business Practice Location Address
First Line : 4455 HARRY WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-2402
Country : US
Telephone Number : 210-822-4664
Fax Number : 210-822-4878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 06/02/2021

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Directions to “ TRAVIS ANDREW MCALISTER DDS” Practice Location

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