Individual
DR. BERNARD WILLIAM TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N 4TH ST, LONGVIEW, TX 75601-4717
(903) 757-2122
(903) 757-9475
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
H2825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137041301
—
TX
01
—
137041302
CSCHN
TX
05
—
137041303
—
TX
01
—
137041304
CSCHN
TX
05
—
137041307
—
TX
01
—
8R1563
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
05/08/2008
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