Individual
TAYLOR BOAGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3720 WESTHEIMER RD STE 650, HOUSTON, TX 77027-5277
(713) 301-3551
Mailing address
106 TOWNE RD, LAFAYETTE, LA 70508-6437
(337) 351-7693
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17271
TX
Other
Enumeration date
06/19/2023
Last updated
10/13/2024
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