Provider Demographics
NPI:1902241029
Name:NANCE, TRAVIS NOBLE (MD)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:NOBLE
Last Name:NANCE
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 1:801 BAYOU BEND DR
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-7905
Mailing Address - Country:US
Mailing Address - Phone:214-679-6277
Mailing Address - Fax:
Practice Address - Street 1:1 CRIMINAL JUSTICE DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1491
Practice Address - Country:US
Practice Address - Phone:936-760-5870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100463282084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry