person
Travis Lee Wacha, FNP-BC,PMHNP-BC
Family Nurse Practitioner in Palestine, Texas
NPI 1104374297

Travis Lee Wacha is a Family Nurse Practitioner based in Palestine, TX and is specialized in Family. Travis Lee Wacha practices in Palestine, TX and has the professional credentials of FNP-BC,PMHNP-BC. The NPI Number for Travis Lee Wacha is 1104374297 and holds a License No. AP131990 (Texas).

The current practice location address for Travis Lee Wacha is 4659 Fm 1990, Palestine, TX and can be reached out via phone at 903-213-2216 and via fax at 903-213-9233.

Location: 4659 Fm 1990, Palestine, TX, 75801-1102
person
Provider Profile Details
NPI Number
1104374297
Provider Name
Travis Lee Wacha
Credential
FNP-BC,PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4659 Fm 1990, Palestine, TX, 75801-1102
Phone Number
903-213-2216
Fax Number
903-213-9233
Provider Enumeration Date
09/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4659 Fm 1990
City
State
Zip
75801-1162
Phone Number
903-213-2216
Fax Number
903-213-9233
person
Provider Business Mailing Address Details
Address
4659 Fm 1990
City
State
Zip
75801-1162
Phone Number
903-213-2216
Fax Number
903-213-9233
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP131990 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP131990 (Texas)
Definition
Definition to come...
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