Individual
TAYLOR HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5424
Mailing address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5424
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R3863
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
R3863
TX
Other
Enumeration date
04/03/2015
Last updated
08/03/2020
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