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Individual

HAROLD R TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 232-3675
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G9392
TX
208M00000X
Hospitalist Physician
G9392
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136537112
TX
Enumeration date
03/07/2007
Last updated
03/02/2018
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