Individual
TAYLOR WILLIAM CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4345 NELSON RD STE 201, LAKE CHARLES, LA 70605-4183
(337) 494-6800
(337) 494-6811
Mailing address
PO BOX 122205 DEPT 2205, DALLAS, TX 75312-4658
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
328261
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2568434
—
LA
01
—
328261
STATE LICENSE
LA
Enumeration date
03/19/2018
Last updated
04/21/2022
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