# DR. ROOSEVELT TAYLOR JR PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952623860
- **Authorized official:** DR. ROOSEVELT TAYLOR JR. M.D. (PHYICIAN PRESIDENT)
- **Authorized official phone:** (214) 391-3700

## Contact information

- **Practice address:** 9209 ELAM RD STE 100, DALLAS, TX 75217-7360
- **Practice address phone:** (214) 391-3700
- **Mailing address:** 9209 ELAM RD STE 100, DALLAS, TX 75217-7360
- **Mailing address phone:** (214) 391-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D9896 | TX | Yes |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 02/18/2010