Individual
MR. TIM C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 SAINT MICHAELS DRIVE, SUITE C, SANTA FE, NM 87505-7636
(505) 438-9402
(505) 471-9240
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST, ADDISON, TX 75001-4625
(972) 364-8000
(214) 775-4502
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
87-197
NM
Other
Enumeration date
01/16/2007
Last updated
05/28/2009
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