Provider Demographics
NPI:1881680726
Name:FOXX, TRAVIS (MD)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:
Last Name:FOXX
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 1:6500 W 143RD ST STE A
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2186
Mailing Address - Country:US
Mailing Address - Phone:913-626-4633
Mailing Address - Fax:913-261-9113
Practice Address - Street 1:6500 W 143RD ST STE A
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2186
Practice Address - Country:US
Practice Address - Phone:913-626-4633
Practice Address - Fax:913-261-9113
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004007492207LP2900X
KS04-33111207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209183003Medicaid
MO452D172Medicare PIN
MO209183003Medicaid
MOP00129559Medicare PIN