Organization
JAMES JOHN TAYLOR DOPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JOHN TAYLOR (PHYSICIAN)
(361) 575-9575
Entity
Organization
Contact information
Practice address
1701 E RED RIVER, VICTORIA, TX 77901-5621
(361) 575-9575
(361) 485-0370
Mailing address
1701 E RED RIVER, VICTORIA, TX 77901-5621
(361) 575-9575
(361) 485-0370
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
K9432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014LZ
BCBS PROVIDER ID
TX
05
—
1654311-01
—
TX
01
—
780002118
MEDICARE RR
TX
Enumeration date
05/24/2007
Last updated
08/28/2008
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