Individual
HERBERT TYLER TAYLOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 TRINITY DR, STE B3, LOS ALAMOS, NM 87544-2221
(505) 661-2411
(505) 662-7216
Mailing address
3500TRINITY DR, STE B3, LOS ALAMOS, NM 87544-2221
(505) 661-2411
(505) 662-7216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000-298
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000-298
STATE PROFESSIONAL LICENS
NM
01
—
206749
STATE CONTROLLED SUBSTANC
NM
Enumeration date
09/02/2005
Last updated
03/07/2023
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