Provider Demographics
NPI:1780693754
Name:TRAYLOR, REBECCA JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:JEAN
Last Name:TRAYLOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6607 CUESTA TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-2330
Mailing Address - Country:US
Mailing Address - Phone:512-389-1010
Mailing Address - Fax:512-389-6665
Practice Address - Street 1:2901 MONTOPOLIS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-6411
Practice Address - Country:US
Practice Address - Phone:512-389-6691
Practice Address - Fax:512-389-6665
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ4569207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG10433Medicare UPIN