Active NPI
Travis Nathan Allen, CST/CFSA
- Surgical Assistant
- Houston, TX
National Provider Identifier
1063764512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.000354
- Practice address
- 7324 Southwest Freeway Suite 1550
Houston, TX 77074-2053 - Phone
- (713) 779-9800
- Fax
- (713) 779-9813
- NPI assigned
- Oct 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 132590 | IL | |
| Surgical Technologist | 246ZS0410X | 238.000354 | IL | |
| Surgical Assistant | 246ZC0007X | 238.000354 | IL | Primary |
Addresses
Primary practice location
7324 Southwest Freeway Suite 1550
Houston, TX 77074-2053
Mailing address
7324 Southwest Freeway Suite 1550
Houston, TX 77074-2053
Phone (713) 779-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132590 | IL | MD | Surgical Technologist |
| 238.000354 | IL | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1063764512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 SOUTHWEST FREEWAY SUITE 1550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742053",
"telephone_number": "713-779-9800",
"fax_number": "713-779-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7324 SOUTHWEST FREEWAY SUITE 1550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742053",
"telephone_number": "713-779-9800",
"fax_number": "713-779-9813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "TRAVIS",
"middle_name": "NATHAN",
"credential": "CST/CFSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-09",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "132590",
"primary": false
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "238.000354",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.000354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.