Individual
DARREN JAY TAPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
703 S FLEISHEL AVE, STE 5000, TYLER, TX 75701-2015
(903) 525-2992
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA000625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188865301
—
TX
01
—
TIN PLUS 008
TRICARE
TX
01
—
TIN PLUS 053
TRICARE
TX
Enumeration date
07/07/2006
Last updated
10/14/2014
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