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Individual

MR. TY M. TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSA,CSA,SA-C

Contact information

Practice address
2915 W BITTERS RD, SAN ANTONIO, TX 78248-1689
(816) 522-7899
Mailing address
2915 W BITTERS RD, SAN ANTONIO, TX 78248-1689
(816) 522-7899

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
3618
KS
363AS0400X
Surgical Physician Assistant
Primary
SA00570
TX

Other

Enumeration date
02/16/2007
Last updated
12/20/2025
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