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Organization

CHARLES MICHAEL TAYLOR II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES TAYLOR II MD (OWNER)
(903) 517-6009
Entity
Organization

Contact information

Practice address
300 E BAKER ST, CLARKSVILLE, TX 75426-5034
(903) 427-2236
Mailing address
539 W COMMERCE ST STE 3000, DALLAS, TX 75208-1953

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
08/03/2020
Last updated
08/03/2020
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