MEDICARE: TRAVIS C HOLCOMBE MD PC

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	2086S0122X	Plastic and Reconstructive Surgery Physician	MD21129	AZ

General Provider Information

NPI Number	:	1629254735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAVIS C HOLCOMBE MD PC

Provider Business Mailing Address
First Line	:	300 W CLARENDON AVE STE 440
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-3476
Country	:	US
Telephone Number	:	602-266-9066
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 E MISSOURI AVE STE 180
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2736
Country	:	US
Telephone Number	:	602-266-9066
Fax Number	:	833-246-1002

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	SARAH MARIE HAYNES
Credential	:	MA
Telephone Number	:	602-266-9066

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	05/19/2026

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Directions to “TRAVIS C HOLCOMBE MD PC ” Practice Location

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