# SCOTT & WHITE HOSPITAL - TAYLOR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659548568
- **Authorized official:** ALICE CANTU (SYSTEM DIRECTOR, CBS)
- **Authorized official phone:** (254) 215-9719

## Contact information

- **Practice address:** 305 MALLARD LN, TAYLOR, TX 76574-1208
- **Practice address phone:** (512) 352-7611
- **Practice address fax:** (512) 352-4734
- **Mailing address:** PO BOX 844658, DALLAS, TX 75284-4658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | TX | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 09/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 136327711 | — | TX |
