Individual
JACOB TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3417 GASTON AVE STE 830, DALLAS, TX 75246-2032
(214) 826-6021
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(781) 789-7047
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1T3891
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
09/24/2024
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