Taylor, Mark
Taylor, Mark is an individual health care provider with primary practice located at 4301 Brown Trl , Colleyville TX 76034-3949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Taylor, Mark can be contacted via phone (817) 281-8275.Contact Information
Primary practice address
4301 Brown Trl
Colleyville TX 76034-3949
Phone: (817) 281-8275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G3840 | Texas |
Profile Details
| NPI number | 1831151307 |
|---|---|
| LBN Legal business name | Taylor, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jul 18th, 2007 - about 17 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 | 1831151307 | NPPES |
| Texas | MEDICAID | 102460602 |
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