person
Dr. Edwin Jay Travis, DCCCSPCVCPACN
Chiropractor in Bastrop, Texas
NPI 1043369945

Edwin Jay Travis is a Chiropractor based in Bastrop, TX. Edwin Jay Travis practices in Bastrop, TX and has the professional credentials of DCCCSPCVCPACN. The NPI Number for Edwin Jay Travis is 1043369945 and holds a License No. 4037 (Texas).

The current practice location address for Edwin Jay Travis is 45 Loop 150 W, Bastrop, TX and can be reached out via phone at 512-321-4481 and via fax at 512-321-9737.

Location: 45 Loop 150 W, Bastrop, TX, 78602-3930
person
Provider Profile Details
NPI Number
1043369945
Provider Name
Edwin Jay Travis
Credential
DCCCSPCVCPACN
Provider Entity Type
Individual
Gender
Male
Address
45 Loop 150 W, Bastrop, TX, 78602-3930
Phone Number
512-321-4481
Fax Number
512-321-9737
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1226201 05 TX
350055841 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
45 Loop 150 W
City
State
Zip
78602-3930
Phone Number
512-321-4481
Fax Number
512-321-9737
person
Provider Business Mailing Address Details
Address
45 Loop 150 W
City
State
Zip
78602-3930
Phone Number
512-321-4481
Fax Number
512-321-9737
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
4037 (Texas)
Definition
A provider qualified by 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.
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