Provider Demographics
NPI:1598393944
Name:CHURA, TRAVIS EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:EDWARD
Last Name:CHURA
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 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:5.504 JENNIE SEALY HOSPITAL
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0877
Mailing Address - Country:US
Mailing Address - Phone:409-266-7856
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BOULEVARD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0877
Practice Address - Country:US
Practice Address - Phone:409-266-7856
Practice Address - Fax:409-772-1224
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program