Individual
DR. G ROBERT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 560, SAN ANTONIO, TX 78212-5609
(210) 223-9617
(210) 472-2669
Mailing address
8109 FREDERICKSBURG RD, PHYSICIAN PRACTICE SERVICES, SAN ANTONIO, TX 78229-3311
(210) 223-9617
(210) 472-2669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E9433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117249601
—
TX
05
—
117249604
—
TX
05
—
117249605
—
TX
01
—
8DL472
BCBSTX
TX
01
—
P00880481
MEDICARE RR
—
01
—
P01141475
RAILROAD MEDICARE
TX
Enumeration date
09/14/2005
Last updated
05/26/2014
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