Individual
JOHNNY TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9821 SUMMERWOOD CIR, 2405, DALLAS, TX 75243
(661) 390-3553
Mailing address
9821 SUMMERWOOD CIR, 2405, DALLAS, TX 75243-5709
(661) 390-3553
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
TX
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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