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Travis Wayne Sullivan, DC
Chiropractor in Prosper, Texas
NPI 1912138348

Travis Wayne Sullivan is a Chiropractor based in Prosper, TX. Travis Wayne Sullivan practices in Prosper, TX and has the professional credentials of DC. The NPI Number for Travis Wayne Sullivan is 1912138348 and holds a License No. 01-05275 (Texas).

The current practice location address for Travis Wayne Sullivan is 101 E Broadway St, Prosper, TX and can be reached out via phone at 972-347-9933 and via fax at 682-292-2997.

Location: 101 E Broadway St, Prosper, TX, 75078-2934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912138348
Provider Name
Travis Wayne Sullivan
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
101 E Broadway St, Prosper, TX, 75078-2934
Phone Number
972-347-9933
Fax Number
682-292-2997
Provider Enumeration Date
08/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14409 01 TX STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
101 E Broadway St
City
Prosper
State
Texas
Zip
75078-2934
Phone Number
972-347-9933
Fax Number
682-292-2997
person
Provider Business Mailing Address Details
Address
101 E Broadway St
City
Prosper
State
Texas
Zip
75078-2934
Phone Number
972-347-9933
Fax Number
682-292-2997
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
01-05275 (Kansas)
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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