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Travis Roeder is one of 111 physician assistants practicing in Waco, Texas .
Travis Roeder practices with Waco Functional Medicine, PA.
Registry record (NPPES)
NPI
1396446829
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Medical · 363AM0700X
Address on file
318 Richland West Cir Waco, TX 76712-7911 (254) 776-8008
Enumerated
Mar 13, 2023
Record last updated
Mar 13, 2023
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
318 Richland W Cir
Waco , TX 76712
318 Richland W Cir Suite B
Waco , TX 76712
(254) 776-8008
More physician assistants in Waco
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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