Individual
MARILYN MONROE-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 N 4TH ST, LA PORTE, TX 77571-3424
(832) 865-2025
(281) 809-3778
Mailing address
422 N 4TH ST, LA PORTE, TX 77571-3424
(832) 865-2025
(281) 809-3778
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-3996706
1023
TX
Enumeration date
01/29/2020
Last updated
01/29/2020
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