Travis Boaz is a Diagnostic Radiology in Bristol, Tennessee. Travis Boaz practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Travis Boaz is 1831120146. The last update date is 2023-07-11.
Travis Boaz's current location address is 3053 W State St, Bristol, Tennessee. You can contact this provider via phone number 4233016567 and fax number 4235739672. The mailing address for Travis Boaz is 3053 W State St, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Travis Boaz |
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Address | 3053 W State St, Bristol, Tennessee |
Phone Number | 4233016567 |
Fax Number | 4235739672 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1831120146 |
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Provider Enumeration Date | 2006-07-05 |
Last Updated Date | 2023-07-11 |
Provider Mailing Address Detail
Address | 3053 W State St |
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City | Bristol |
State | Tennessee (TN) |
Post Code | 376201720 |
Phone Number | 4233016567 |
Fax Number | 4235739672 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | 28433 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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What is the unique 10-digit identifier code issued to Travis Boaz by the Centers for Medicare & Medicaid Services?
The Travis Boaz has been assigned the NPI (National Provider Identifier) 1831120146 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Travis Boaz is geographically located?
The Travis Boaz is physically situated at the following location: 3053 W State St, Bristol, TN, 376201720.
What is the Travis Boaz's area of specialization and corresponding taxonomy classification?
The Travis Boaz's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
When did the Travis Boaz receive its 1831120146?
The Travis Boaz was issued its 1831120146 on 2006-07-05, which is the date when the organization was assigned this unique identifier.
As of what date were the Travis Boaz's details last updated?
The information pertaining to the Travis Boaz, including its address, specialty, and other details, was most recently updated on 2023-07-11.