Individual
TYREE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 ST JAMES WAY, PROSPER, TX 75078-9970
(214) 893-4902
Mailing address
310 ST JAMES WAY, PROSPER, TX 75078-9970
(214) 893-4902
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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