Provider Demographics
NPI:1457811127
Name:HOMAN, TRAVIS DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:DAVID
Last Name:HOMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 NE SAINT LUKES BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-1000
Mailing Address - Country:US
Mailing Address - Phone:816-367-5128
Mailing Address - Fax:816-347-5351
Practice Address - Street 1:120 NE SAINT LUKES BLVD FL 3
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-1000
Practice Address - Country:US
Practice Address - Phone:816-367-5128
Practice Address - Fax:816-347-5351
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2022030211207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease