Individual
DR. WAYNE E TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LANE, DALLAS, TX 75230
(972) 739-7445
(214) 692-7478
Mailing address
PO BOX 496148, GARLAND, TX 75049-6148
(972) 739-7445
(214) 692-7478
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E3783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120226901
—
TX
01
—
83P202
BLUE CROSS
TX
Enumeration date
07/07/2006
Last updated
07/08/2007
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