Individual
DR. TAYLOR JACQUELYNN GRAY WLAZLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST FL 3, LUBBOCK, TX 79430-0002
(806) 743-2340
Mailing address
11516 TOPEKA AVE, LUBBOCK, TX 79424-7642
(281) 541-6519
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
BP10075613
TX
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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