Provider Demographics
NPI:1700570264
Name:TRAVIS BIAS, DO, INC.
Entity Type:Organization
Organization Name:TRAVIS BIAS, DO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO, MPH, FAAFP
Authorized Official - Phone:512-657-8547
Mailing Address - Street 1:6114 LA SALLE AVE # 582
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2802
Mailing Address - Country:US
Mailing Address - Phone:707-582-3209
Mailing Address - Fax:
Practice Address - Street 1:7720 RANCHO SANTA FE
Practice Address - Street 2:SUITE 225
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009
Practice Address - Country:US
Practice Address - Phone:707-582-3209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care