Collazo, Taylor
Collazo, Taylor is an individual health care provider with primary practice located at 100 E 15Th St Ste 520 , Fort Worth TX 76102-6566. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Collazo, Taylor can be contacted via phone (817) 529-8151.Contact Information
Primary practice address
100 E 15Th St Ste 520
Fort Worth TX 76102-6566
Phone: (817) 529-8151
Fax: (817) 394-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 30725 | Texas |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4020 | Arkansas |
Profile Details
| NPI number | 1164800868 |
|---|---|
| LBN Legal business name | Collazo, Taylor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2015 |
| Last updated | May 13th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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