Individual provider · NPI-1

Dr. Travis Chin, MD

Student in an Organized Health Care Education/Training Program · Texarkana, AR

NPI number1396599510

StatusActive

Last updated in NPPESJun 24, 2024

Details

NPI: 1396599510
Entity type: Individual (NPI-1)
Name: Dr. Travis Chin
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Apr 15, 2024
Certification date: Jun 24, 2024
Last updated: Jun 24, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes

Practice location

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6000 · Fax 870-779-6050

Mailing address

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6000 · Fax 870-779-6050

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