Individual
RICHARD TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-2100
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
J9377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136110708
CIDC
TX
05
—
136110709
—
TX
05
—
136110712
—
TX
01
—
136110713
CSHCN
TX
Enumeration date
08/01/2006
Last updated
03/17/2018
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