Travis Holloway, DPM
Individual provider Active NPI Podiatrist · Floresville, TX
NPI 1235574641 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1235574641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 2201 (TX)
- Practice address
- 497 10TH St Ste 104
Floresville, TX 78114-3178 - Phone
- (830) 393-1400
- Fax
- (830) 393-1739
- NPI assigned
- Apr 30, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Northeastern Ohio University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wilson County Memorial Hospital District
Amarillo Foot Specialists PLLC
Practice addresses (Care Compare)
497 10TH St
Suite 104
Floresville, TX 78114-3178
Phone (830) 393-1630
5109 Lexington SQ
Suite 200
Amarillo, TX 79119-6506
5109 Lexington SQ
Suite 200
Amarillo, TX 79119-6578
Phone (806) 322-3338
Hospital & facility affiliations
- Connally Memorial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 47 |
| Removal of nail tissue | 197 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804000182 | TX | Practitioner - Podiatry | 1951609973 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201 | TX | MD | Behavioral Analyst |
| 2201 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson County Memorial Hospital District | Podiatrist | Current |
Accepting new patients |
| Wilson County Memorial Hospital District | Current |
Accepting new patients | |
| Amarillo Foot Specialists, PLLC | Podiatrist | Current |
Accepting new patients |
| Wilson County Memorial Hospital District | Past | Accepting new patients |
Locations
5109 Lexington Sq
Ste 200
Amarillo, TX 79119
Phone (806) 322-3338
1901 Medi Park Dr
Ste 1030
Amarillo, TX 79106
Phone (806) 356-2754
499 10th St
Floresville, TX 78114
Phone (830) 216-7096
499 10th St
Ste 104
Floresville, TX 78114
497 10th St
Ste 104
Floresville, TX 78114
Phone (830) 393-1730
493 10th St
Floresville, TX 78114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2201 | OH | |
| Podiatrist | 213E00000X | 2201 | TX | Yes |
Addresses
Primary practice location
497 10TH St Ste 104
Floresville, TX 78114-3178
Mailing address
499 10TH St Ste 104
Floresville, TX 78114-3175
Phone (830) 393-1400
Other providers in Floresville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.