Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Travis, PA-C

Individual provider Medical Physician Assistant · NPI 1578712196

Mr. Michael Travis, PA-C is a Medical Physician Assistant in Lubbock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6104 Avenue Q South Dr
Lubbock, TX 79412-3700
Phone: (806) 472-3430
Fax: (806) 472-3432
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Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01707 (TX)

Record details

NPI number1578712196
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 18, 2008
Last updated in NPPESSeptember 18, 2008
Mailing address6104 Avenue Q South Dr, Lubbock, TX 79412-3700

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