Organization Active NPI

WM Richard Travis, MD, PA

  • Internal Medicine Physician
  • McKinney, TX
National Provider Identifier
1477726263
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H8954 Issued in TX
Legal business name
WM RICHARD TRAVIS, MD, PA
Practice address
175 Ridge Rd
Ste# 800
McKinney, TX 75070-5102
Phone
(972) 562-1018
Fax
(972) 562-1026
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Richard Travis, MD
Title
Physician/President
Phone
(469) 667-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X H8954 TX Primary

Addresses

Primary practice location

175 Ridge Rd
Ste# 800
McKinney, TX 75070-5102

Mailing address

175 Ridge Rd
Ste# 800
McKinney, TX 75070-5102
Phone (972) 562-1018

Other identifiers 1

IdentifierTypeStateIssuer
034025901MedicaidTX

National Provider Directory

National Provider Directory

Locations

175 S Ridge Rd
Ste 800
McKinney, TX 75072
Phone (972) 540-0006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1477726263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 RIDGE RD",
            "address_2": "STE# 800",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705102",
            "telephone_number": "972-562-1018",
            "fax_number": "972-562-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 RIDGE RD",
            "address_2": "STE# 800",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705102",
            "telephone_number": "972-562-1018",
            "fax_number": "972-562-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM RICHARD TRAVIS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "469-667-9449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034025901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.