TRAVIS J WIES (NPI# 1952607467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952607467 |
| Entity Type | Individual |
| Full Name | TRAVIS J WIES |
| Credential | NP |
| Practice Address |
1339 S Broadway St Sulphur Springs TX 75482 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9039511001 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132187 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 363776103 | 05 | |
| TX | MEDICARE RAIL ROAD | P02223412 | 01 |
| TX | MEDICARE | 787723 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1339 S Broadway St, Sulphur Springs, TX 75482 | 9039511001 |
| Street Address |
1339 S BROADWAY ST |
| City | SULPHUR SPRINGS |
| State | TX |
| Zip Code | 75482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114399318 | Hcmh Retail Clinic | Clinic/Center | 1339 S Broadway St, Sulphur Springs, TX 75482-4895 | 2015-10-27 |
| 1699197699 | Samantha Steinis | Physician Assistant | 1339 S Broadway St, Sulphur Springs, TX 75482-4895 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211866 | Carolyn Sue Wheeler | Pharmacist | 809 Gilmer Rd, Sulphur Springs, TX 75482 | 2020-10-05 |
| 1952940371 | Max Baxter II | Technician | 130 Sherry Lane, Sulphur Springs, TX 75482 | 2020-01-02 |
| 1700427093 | Talon Thomas Bell | Chiropractor | 2655 Texas Highway 11 East, Sulphur Springs, TX 75482 | 2019-10-08 |
| 1184275711 | Community Health Service Agency, Inc. | Clinic/Center | 105-ll Medical Plaza, Sulphur Springs, TX 75482 | 2019-09-25 |
| 1184107211 | Julie Ann Gustafson | Registered Nurse | 60 Cr 2323, Sulphur Springs, TX 75482 | 2018-09-14 |
| 1437639317 | Heath White | Physical Therapy Assistant | 3846 Fm 2285, Sulphur Springs, TX 75482 | 2018-08-20 |
| 1336650175 | Sulphur Springs Chiropractic Associates Inc | Chiropractor | 207 Jefferson St E, Sulphur Springs, TX 75482 | 2017-10-19 |
| 1497027361 | Daniel Lawrence, Dds, PC | Clinic/Center | 620 Church Street, Sulphur Springs, TX 75482 | 2012-02-07 |
| 1205163458 | Ashlei Thomas | Social Worker | 803 Putman St, Sulphur Springs, TX 75482 | 2009-11-09 |
| 1437483450 | Fred Daniel Hill | Chiropractor | 5173 Tx. Hwy. 154 S, Sulphur Springs, TX 75482 | 2009-09-23 |
| Find all providers in zip 75482 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893348 | Lily Norwood Shugart | Nurse Practitioner | 115 Medical Cir, Sulphur Springs, TX 75482-2138 | 2020-05-28 |
| 1811543168 | Nikki Collins | Nurse Practitioner | 105 Medical Plz, Sulphur Springs, TX 75482-2136 | 2019-08-13 |
| 1649838111 | Chimdi Mfebe | Nurse Practitioner | 113 Medical Cir, Sulphur Springs, TX 75482-2138 | 2019-05-30 |
| 1922526219 | Megan Elaine Bray | Nurse Practitioner | 105 Medical Plz, Sulphur Springs, TX 75482-2136 | 2017-09-06 |
| 1215489331 | Kimberly Humphrey | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2016-10-25 |
| 1801344551 | Leah Irving | Nurse Practitioner | 105 Medical Plz, Sulphur Springs, TX 75482-2136 | 2016-09-12 |
| 1346798097 | Jordan Potts | Nurse Practitioner | 111 Medical Cir, Sulphur Springs, TX 75482-2138 | 2016-09-12 |
| 1447707039 | Jennifer Flowers | Nurse Practitioner | 113 Medical Cir, Sulphur Springs, TX 75482 | 2016-09-01 |
| 1881029783 | Lauren Jeton Ingram | Nurse Practitioner | 113 Airport Rd, Suite 301, Sulphur Springs, TX 75482-2193 | 2013-09-10 |
| 1912295320 | Abbey Ellen Roper | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2011-07-19 |
| Find all providers in SULPHUR SPRINGS | ||||
| City | SULPHUR SPRINGS |
| Zip Code | 75482 |
Please comment or provide details below to improve the information on TRAVIS J WIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.