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Brett Robert Travis, MD
Diagnostic Radiology Physician in Hammond, Louisiana
NPI 1700082682

Brett Robert Travis is a Diagnostic Radiology Physician based in Hammond, LA and is specialized in Diagnostic Radiology. Brett Robert Travis practices in Hammond, LA and has the professional credentials of MD. The NPI Number for Brett Robert Travis is 1700082682 and holds a License No. MD.201617 (Louisiana).

The current practice location address for Brett Robert Travis is 15790 Paul Vega Md Dr, Hammond, LA and can be reached out via phone at 985-230-6700 and via fax at 985-230-1528.

Location: 15790 Paul Vega Md Dr, Hammond, LA, 70404-2668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700082682
Provider Name
Brett Robert Travis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15790 Paul Vega Md Dr, Hammond, LA, 70404-2668
Phone Number
985-230-6700
Fax Number
985-230-1528
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09202849 05 MS
1508195 05 LA
institution
Provider Business Practice Location Address Details
Address
15790 Paul Vega Md Dr
City
Hammond
State
Louisiana
Zip
70403-1434
Phone Number
985-230-6700
Fax Number
985-230-1528
person
Provider Business Mailing Address Details
Address
15790 Paul Vega Md Dr
City
Hammond
State
Louisiana
Zip
70403-1434
Phone Number
985-230-6700
Fax Number
985-230-1528
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
MD.201617 (Louisiana)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
(Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD.201617 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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