Individual
TAYLOR MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP, FNP
Contact information
Practice address
3515 FANNIN ST STE 105, BEAUMONT, TX 77701-3810
(409) 735-2005
(409) 735-1246
Mailing address
3515 FANNIN ST STE 105, BEAUMONT, TX 77701-3810
(409) 735-2005
(409) 735-1246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP135901
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2021013683
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135901
TX
Other
Enumeration date
04/26/2018
Last updated
02/14/2025
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