Provider Demographics
NPI:1396205183
Name:TRAVIS, KATE JORDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:JORDAN
Last Name:TRAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST STE 2509
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2777
Mailing Address - Country:US
Mailing Address - Phone:346-238-2040
Mailing Address - Fax:713-383-9026
Practice Address - Street 1:6550 FANNIN ST STE 2509
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2777
Practice Address - Country:US
Practice Address - Phone:346-238-2040
Practice Address - Fax:713-383-9026
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU26552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry