Individual
TAYLOR MCLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7445
(254) 743-2150
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7445
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED4595
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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