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Individual

TAYLOR GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10821 W CLEBURNE RD, CROWLEY, TX 76036-9429
(682) 553-0454
Mailing address
10821 W CLEBURNE RD, CROWLEY, TX 76036-9429
(682) 553-0454

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DRP820150124
BLUECROSS BLUESHIELD
TX
Enumeration date
05/10/2016
Last updated
05/10/2016
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