Individual
ROGER Z TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4090 MAPLESHADE LN STE 100, PLANO, TX 75093-0025
(972) 986-5524
Mailing address
4090 MAPLESHADE LN STE 100, PLANO, TX 75093-0025
(972) 986-5524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D9042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109362701
—
TX
05
—
127619802
—
TX
01
—
P01330137
RAILROAD MEDICARE
—
Enumeration date
03/25/2006
Last updated
02/24/2023
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