Most Relevant Information
Provider Data
| NPI Number: | 1003584608 |
| Provider Name: | TRAVIS ANDREW KYLE PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA14482 |
Most Important Dates
| Enumeration Date: | 08/31/2021 |
| Last Updated: | 01/26/2023 |
Provider Practice Location
2301 S FM 51 STE 100
DECATUR
TX
762343864
Practice Location Phone/Fax
| Phone: | 9406268810 |
| Fax: | 9406268811 |
Provider Mailing Location
PO BOX 2078
DECATUR
TX
762346156
Provider Mailing Phone/Fax
| Phone: | 9406268810 |
| Fax: | 9406268811 |