Individual
DR. TAD W TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1920 N COLLINS BLVD, RICHARDSON, TX 75080-3525
(214) 575-8700
(214) 575-8705
Mailing address
1920 N COLLINS BLVD, RICHARDSON, TX 75080-3525
(214) 575-8700
(214) 575-8705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104843103
—
TX
01
—
8U9680
BCBS PROVIDER NUMBER
TX
Enumeration date
05/26/2006
Last updated
03/07/2023
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