Organization
TAYLOR-MADE MOBILE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILA TAYLOR FNP (PRESIDENT)
(915) 599-9844
Entity
Organization
Contact information
Practice address
8010 N LOOP DR, SUITE 200-A, EL PASO, TX 79915-3226
(915) 599-9844
(915) 581-7721
Mailing address
8010 N LOOP DR, SUITE 200-A, EL PASO, TX 79915-3226
(915) 599-9844
(915) 581-7721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
551784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70143524
DPS CERT #
TX
Enumeration date
10/10/2011
Last updated
10/10/2011
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