TRAVIS A WHITE


Address: 602 Indiana Avenue, Lubbock, TX 79415
Phone: 8067758400

TRAVIS A WHITE (NPI# 1679602585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679602585
Entity Type Individual
Full Name TRAVIS A WHITE
Credential MD
Practice Address 602 Indiana Avenue
Lubbock
TX 79415
Mailing Address Po Box 1888
Greenville
TX 75403
Practice Telephone 8067758400
Practice Fax Number 8067758412
Mailing Telephone 8009452455
Mailing Fax Number 9034532541
Enumeration Date 2007-03-05
Last Update Date 2008-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
E6019 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 136756710 05

Other Providers TRAVIS WHITE

NPI Name Taxonomy Address Enumeration
1528302643 Travis Grant White Pharmacist 1124 Hsc North, Wvu School of Pharmacy, Morgantown, WV 26506 2012-11-15
1285865949 Travis Lee White Chiropractor 164 E. Frontage St, Mancos, CO 81328 2009-07-29
1003039892 Travis W White Emergency Medicine 6913 W Grace St, Richmond, VA 23226-3540 2007-04-10
1508496001 Travis White Technician 585 Jewett Rd, Mason, MI 48854-8729 2020-01-23
1972902625 Travis White Psychologist 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2014-08-19
1356627822 Travis Derrick White Nurse Anesthetist, Certified Registered 341 Trane Dr, Knoxville, TN 37919-6053 2011-10-28
1518257070 Travis Lynn White Chiropractor 1100 N Cole Rd, Boise, ID 83704-8644 2011-04-18
1427234285 Travis Michael White Counselor 120 W 5th St, Tyler, TX 75701-4054 2008-01-10
1902002421 Travis White Dentist 3333 Burnet Ave., Ml 5012, Cincinnati, OH 45229-3039 2007-06-22

Office Location

Street Address 602 INDIANA AVENUE
City LUBBOCK
State TX
Zip Code 79415

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497709265 Byron Wayne Schoettle Radiology 602 Indiana Avenue, Lubbock, TX 79415 2006-05-19
1932411998 Brian Scott Payne Pediatrics 602 Indiana Avenue, Division of Pediatric Emergency Medicine, Lubbock, TX 79415 2010-07-07
1609960277 Christy Robinson Personal Emergency Response Attendant 602 Indiana Avenue, Lubbock, TX 79415 2006-10-03
1497784557 Kerrie A. Pinkney Anesthesiology 602 Indiana Avenue, Lubbock, TX 79415 2006-07-01
1669411260 Eileen Aye Liljeblad Radiology 602 Indiana Avenue, Lubbock, TX 79415 2006-06-06
1063468031 University Medical Center Radiology Radiology 602 Indiana Avenue, Lubbock, TX 79415 2006-05-25
1669426433 Joanne Younbok Chung Radiology 602 Indiana Avenue, Lubbock, TX 79415 2006-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831569540 Community Health Center of Lubbock, Inc. Clinic/Center 3502 9th St Ste 280, Lubbock, TX 79415 2015-10-07
1922447457 Fnu Parijat Kumar Physical Therapist 2717 3rd Street, Aptt 803, Lubbock, TX 79415 2013-06-18
1851575906 Diego Rivera, M.d., P.a. Family Medicine 111 University Ave, Lubbock, TX 79415 2007-12-26
1730206632 Kathleen Brinkman Felts Physical Therapist 3710 4th Street, Lubbock, TX 79415 2007-03-23
1568508521 Horace Rueben Sharp Jr. Optometrist 1911 4th St, Lubbock, TX 79415 2007-01-29
1699876201 Patricia R. Arledge Plastic Surgery 3502 9th St., Suite 270, Lubbock, TX 79415 2006-09-26
1245330018 Perlita Molina Sambrano-tandoc Nurse Practitioner 602 East Indiana Avenue, Lubbock, TX 79415 2006-09-22
1639199862 Justin Tidwell Emergency Medicine 604 Indiana, Lubbock, TX 79415 2006-07-20
1912944059 Community Health Center of Lubbock, Inc. Clinic/Center 3301 Clovis Road, Lubbock, TX 79415 2006-05-31
1245720838 Kelli D'ann Harris Registered Nurse 808 Joliet Ave Unit 220, Lubbock, TX 79415 2018-05-18
Find all providers in zip 79415

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780897215 Richard Earl Wetzel Radiology 2301 61st St, Lubbock, TX 79412-3320 2007-05-08
1326191370 Paul Atallah Radiology 8410 Vicksburg Ave, Lubbock, TX 79424-4026 2007-01-20
1790798817 Karl T Dockray Radiology 1808 19th St, Lubbock, TX 79401-4811 2006-08-14
1497709265 Byron Wayne Schoettle Radiology 602 Indiana Avenue, Lubbock, TX 79415 2006-05-19
1073519419 Thomas Richard Windisch Radiology 4408 6th St, Lubbock, TX 79416-4732 2005-06-21
1124020318 Brian James Bruening Radiology 4005 24th St, Lubbock, TX 79410-1835 2005-06-01
1598260515 Concord Radiology Pllc Radiology 1602 Avenue Q, Lubbock, TX 79401-4732 2018-03-30
1861805913 James Montgomery Radiology 4005 24th St, Lubbock, TX 79410-1815 2014-06-06
1033420781 Kulia Kini Kakarala Radiology 602 Indiana Ave, Lubbock, TX 79415-3364 2010-06-28
1558523357 Grace Clinic Imaging Department Radiology 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 2008-07-02
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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