Travis Wayne Sullivan is a Prosper, Texas based male chiropractor who is specialized as General Chiropractor. Active license number of Travis Wayne Sullivan as General Chiropractor is 14409 in Texas. Travis Wayne Sullivan is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Travis Wayne Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
101 E Broadway St, Prosper, Texas, 75078-2934
Phone:
972-347-9933
Fax:
682-292-2997
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912138348
NPI Enumeration Date:
03 Aug, 2009
NPI Last Update On:
03 Feb, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Travis Wayne Sullivan are as mentioned below.
License Number
Specialization
State
Status
14409
Chiropractor
Texas
Primary
01-05275
General Chiropractor
Kansas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Travis Wayne Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
14409
Other
Texas
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
101 E Broadway St, Prosper, Texas
Zip:
75078-2934
Phone Number:
972-347-9933
Fax Number:
682-292-2997
Patients can reach Travis Wayne Sullivan at 101 E Broadway St, Prosper, Texas or can call to book an appointment on 972-347-9933. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.