Individual
DR. ROBERT STANLEY TAYLOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 N FOURTH ST STE 400, LONGVIEW, TX 75605-0036
(903) 757-3881
(903) 757-5948
Mailing address
3535 N FOURTH ST STE 400, LONGVIEW, TX 75605-0036
(903) 757-3881
(903) 757-5948
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
H0877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119053001
—
TX
Enumeration date
03/18/2006
Last updated
09/30/2024
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