MEDICARE: TRAVIS D HUBIN 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
1	207Q00000X	Family Medicine Physician	0527820	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679556955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS D HUBIN DO

Provider Business Mailing Address
First Line	:	13213 W 21ST ST N
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67235-9625
Country	:	US
Telephone Number	:	316-945-0142
Fax Number	:

Provider Business Practice Location Address
First Line	:	13213 W 21ST ST N
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67235-9625
Country	:	US
Telephone Number	:	316-945-0142
Fax Number	:

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

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	01/16/2014

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Directions to “ TRAVIS D HUBIN DO” Practice Location

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