Organization
TAYLOR TEXAS MEDICINE, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAD WILLIAM TAYLOR MD (PHYSICIAN)
(214) 575-8700
Entity
Organization
Contact information
Practice address
1920 N COLLINS BLVD, RICHARDSON, TX 75080-3525
(214) 575-8700
Mailing address
1920 N COLLINS BLVD, RICHARDSON, TX 75080-3525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028NH
BCBS GROUP NUMBER
TX
05
—
179486901
—
TX
Enumeration date
12/10/2007
Last updated
07/30/2012
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