Organization
THOMAS E. TAYLOR, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E TAYLOR M.D. (PRESIDENT)
(940) 766-4365
Entity
Organization
Contact information
Practice address
1500 BROOK AVE, WICHITA FALLS, TX 76301-5604
(940) 766-4365
Mailing address
1500 BROOK AVE, WICHITA FALLS, TX 76301-5604
(940) 766-4365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C8465
TX
Other
Enumeration date
08/31/2006
Last updated
10/24/2007
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