Individual
KENT ALAN TAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 FAIRWAY VIEW TER, SOUTHLAKE, TX 76092-9550
(214) 649-1444
Mailing address
613 FAIRWAY VIEW TER, SOUTHLAKE, TX 76092-9550
(214) 649-1444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J6042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138767225
—
TX
01
—
8AB544
BCBSTX
TX
01
—
P00759870
RAILROAD MEDICARE THRU HEB
TX
Enumeration date
08/18/2006
Last updated
02/01/2010
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