Taylor, Tiffany A

Taylor, Tiffany A is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Taylor, Tiffany A can be contacted via phone (903) 525-1913.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X M9690 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M9690 Texas

Profile Details

NPI number 1396019543
LBN Legal business name Taylor, Tiffany A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2012
Last updated Oct 14th, 2014 - about 10 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 1396019543 NPPES
Texas Other 75-2616977-042 TRICARE
Texas Other P01073155 TRICARE
Texas MEDICAID 295428102 TRICARE
Texas Other 8DD807 TRICARE

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