Organization
LUIS GLENN TAYLOR, M.D., P.A.
Active
Other names
TLC Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS GLENN TAYLOR GLENN TAYLOR M.D. (OWNER/PRESIDENT)
(409) 832-6188
Entity
Organization
Contact information
Practice address
740 HOSPITAL DR, SUITE 160, BEAUMONT, TX 77701-4664
(409) 832-6188
(409) 839-4760
Mailing address
740 HOSPITAL DR, SUITE 160, BEAUMONT, TX 77701-4664
(409) 832-6188
(409) 839-4760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130575703
—
TX
Enumeration date
05/12/2009
Last updated
05/12/2009
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