Individual
DR. MOIRAE MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4343 N JOSEY LN, CARROLLTON, TX 75010-4603
(972) 394-2412
(972) 394-2328
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K5714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14678803
—
TX
05
—
146788801
—
TX
05
—
146788806
—
TX
05
—
146788807
—
TX
01
—
146788808
MEDICAID CSHCN
TX
05
—
146788809
—
TX
01
—
146788810
MEDICAID CSHCN
TX
01
—
8B1132
BCBS
TX
Enumeration date
12/19/2005
Last updated
05/21/2014
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