Individual
DR. ALAN MACK TAYLOR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E BROAD ST STE 312, MANSFIELD, TX 76063-6412
(469) 513-2666
(469) 513-2667
Mailing address
74 REGENCY PKWY, MANSFIELD, TX 76063-7816
(817) 419-6111
(817) 701-4902
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-075421
IL
174400000X
Specialist
181909-1
NY
174400000X
Specialist
30929
KY
174400000X
Specialist
K4586
TX
174400000X
Specialist
MC09647R
LA
174400000X
Specialist
R6J98
MO
207RC0000X
Cardiovascular Disease Physician
Primary
K4586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046202001
—
TX
Enumeration date
06/01/2005
Last updated
05/07/2025
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