Individual
TAYLOR HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
739 TANGLEWOOD DRIVE, BURLESON, TX 76028
(830) 203-1727
Mailing address
100 UNIVERSITY DR, FORT WORTH, TX 76107-1967
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
AT4243
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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