| Dr Travis Glen King, MD | |
|
105 Hospital Ave, Tulia, TX 79088-2433 | |
| (806) 995-4122 | |
| (806) 995-4663 |
| Full Name | Dr Travis Glen King |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 105 Hospital Ave, Tulia, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013117217 | NPI | - | NPPES |
| 199334705 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M8087 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swisher Memorial Hospital | Tulia, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Pllc | 0446296818 | 158 |
| Swisher Memorial Healthcare System | 2365610490 | 2 |
| Concord Medical Group Of Texas Pllc | 7810117223 | 238 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Swisher Memorial Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253194 PECOS PAC ID: 2365610490 Enrollment ID: O20120703000523 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travis Glen King, MD Po Box 846, Tulia, TX 79088-0846 Ph: (806) 995-4122 | Dr Travis Glen King, MD 105 Hospital Ave, Tulia, TX 79088-2433 Ph: (806) 995-4122 |
Steven Brad Rossi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Hospital Ave, Tulia, TX 79088 Phone: 806-995-4122 Fax: 806-995-4663 | |
Seth Francis Wilhelm, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Hospital Ave, Tulia, TX 79088 Phone: 806-995-1422 | |
Scot T Blakeman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 105 Hospital Ave, Tulia, TX 79088 Phone: 806-995-4122 Fax: 806-995-4663 |