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Travis J Wies, NP
Family Nurse Practitioner in Sulphur Springs, Texas
NPI 1952607467

Travis J Wies is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Travis J Wies practices in Sulphur Springs, TX and has the professional credentials of NP. The NPI Number for Travis J Wies is 1952607467 and holds a License No. AP132187 (Texas).

The current practice location address for Travis J Wies is 1339 S Broadway St, Sulphur Springs, TX and can be reached out via phone at 903-951-1001.

Location: 1339 S Broadway St, Sulphur Springs, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952607467
Provider Name
Travis J Wies
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1339 S Broadway St, Sulphur Springs, TX, 75284-6098
Phone Number
903-951-1001
Fax Number
Provider Enumeration Date
01/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
787723 01 TX MEDICARE
P02223412 01 TX MEDICARE RAIL ROAD
363776103 05 TX
institution
Provider Business Practice Location Address Details
Address
1339 S Broadway St
City
Sulphur Springs
State
Texas
Zip
75482
Phone Number
903-951-1001
Fax Number
person
Provider Business Mailing Address Details
Address
1339 S Broadway St
City
Sulphur Springs
State
Texas
Zip
75482
Phone Number
903-951-1001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP132187 (Texas)
Definition
Definition to come...
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