MEDICARE: TRAVIS C HOLCOMBE MD

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	21129	AZ
2	2086S0122X	Plastic and Reconstructive Surgery Physician	C53209	CA

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	:	1730138561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS C HOLCOMBE MD

Provider Business Mailing 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

Provider Business Practice Location Address
First Line	:	1260 S MAIN ST STE 201
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-2292
Country	:	US
Telephone Number	:	831-758-2746
Fax Number	:

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	04/28/2026

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Directions to “ TRAVIS C HOLCOMBE MD” Practice Location

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