Individual
TAYLOR TORRENCE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 798-6907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1140
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R1140
TX
207RP1001X
Pulmonary Disease Physician
R1140
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
R1140
TX
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
R1140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375476401
—
TX
05
—
375476402
—
TX
Enumeration date
04/22/2014
Last updated
02/16/2024
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