Individual
MARY ANN INDIC TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32319 HUNT RD, BROOKSHIRE, TX 77423-9213
(979) 635-0190
Mailing address
32319 HUNT RD, BROOKSHIRE, TX 77423-9213
(979) 635-0190
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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