Individual
DOUGLAS TAYLOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11822 CITTA BELLA CT, RICHMOND, TX 77406-1156
(832) 651-2256
Mailing address
11822 CITTA BELLA CT, RICHMOND, TX 77406-1156
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
4183257
LA
347C00000X
Private Vehicle
Primary
4183257
LA
Other
Enumeration date
03/06/2024
Last updated
05/21/2024
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