Individual
MS. TAYLOR SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1000
Mailing address
5400 W PARMER LN APT 1917, AUSTIN, TX 78727-3923
(512) 934-3181
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1142540
TX
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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