Individual
DR. BRUCE C. TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3414 OAK GROVE AVE, DALLAS, TX 75204-2375
(214) 521-1153
(214) 219-3651
Mailing address
3414 OAK GROVE AVE, DALLAS, TX 75204-2375
(214) 521-1153
(214) 219-3651
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D2723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4037612
AETNA
TX
01
—
805831
BCBS/GRP 00T587
TX
Enumeration date
05/03/2006
Last updated
07/09/2007
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