Individual
TAYLOR DEROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 TUSCAN DR STE 110, IRVING, TX 75039-3838
(214) 496-1100
(214) 496-1110
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
S1797
TX
Other
Enumeration date
03/22/2016
Last updated
07/12/2022
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