Taylor, Robert Stanley

Taylor, Robert Stanley is an individual health care provider with primary practice located at 3535 N Fourth St Ste 400 , Longview TX 75605-0036. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Taylor, Robert Stanley can be contacted via phone (903) 757-3881.

Contact Information

Primary practice address
3535 N Fourth St Ste 400 Longview TX 75605-0036
Fax: (903) 757-5948
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X H0877 Texas

Profile Details

NPI number 1760441893
LBN Legal business name Taylor, Robert Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Mar 3rd, 2021 - about 4 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 1760441893 NPPES
Texas MEDICAID 119053001

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