Individual
DAVID TAYLOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 W WASHINGTON ST, STEPHENVILLE, TX 76401-4168
(901) 574-7864
Mailing address
1191 W VANDERBILT ST APT 311, STEPHENVILLE, TX 76401-5659
(901) 574-7864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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