Doctor Name: | TRAVIS HOLLOWAY |
NPI Number: | 1235574641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | |
Business Practice Address: | 1901 Medi Park Dr Ste 1050 Amarillo, TX - 791062108 |
Business Phone Number: | 8063223338 |
Business Fax Number: | 3308845688 |
Mailing Address: | 6421 Alderwood Rd, PARMA HEIGHTS |
State: | OH |
Postal Code: | 441303204 |
Phone Number: | 2084039721 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2013 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |