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
Fax: (817) 842-2599
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649272923 NPPES
Texas MEDICAID 046202001

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