Individual
BRANDON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 HASKELL DR, MELISSA, TX 75454-2172
(903) 268-4964
Mailing address
1113 HASKELL DR, MELISSA, TX 75454-2172
(903) 268-4964
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
309063
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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