Provider Demographics
NPI:1487678702
Name:BURNS, TRAVIS C (MD)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:C
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 BABCOCK RD STE 435
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4850
Mailing Address - Country:US
Mailing Address - Phone:210-705-5060
Mailing Address - Fax:210-705-5171
Practice Address - Street 1:2833 BABCOCK RD STE 435
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4850
Practice Address - Country:US
Practice Address - Phone:210-705-5060
Practice Address - Fax:210-705-5171
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3483207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210028101Medicaid
TX210028102OtherCSHCN
TX633248AA8POtherINDIVIDUAL TEXAS MEDICARE PTAN - ORTHO
TX210028105Medicaid
TX210028110Medicaid