Taylor, Alan Mack
Taylor, Alan Mack is an individual health care provider with primary practice located at 851 Highway 287 N , Mansfield TX 76063-2634. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Taylor, Alan Mack can be contacted via phone (817) 842-2500.Contact Information
Primary practice address
851 Highway 287 N
Mansfield TX 76063-2634
Phone: (817) 842-2500
Fax: (817) 842-2599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 036-075421 | Illinois |
Other Service Providers / Specialist | 174400000X | MC09647R | Louisiana |
Other Service Providers / Specialist | 174400000X | R6J98 | Missouri |
Other Service Providers / Specialist | 174400000X | 181909-1 | New York |
Other Service Providers / Specialist | 174400000X | 30929 | Kentucky |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | K4586 | Texas |
Profile Details
NPI number | 1649272923 |
---|---|
LBN Legal business name | Taylor, Alan Mack |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Jul 30th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649272923 | NPPES |
Texas | MEDICAID | 046202001 |
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