Taylor, Wallace Edmondson

Taylor, Wallace Edmondson is an individual health care provider with primary practice located at 300 Beardsley Ln Suite D-101, Austin TX 78746-4945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Taylor, Wallace Edmondson can be contacted via phone (512) 338-9840.

Contact Information

Primary practice address
300 Beardsley Ln Suite D-101 Austin TX 78746-4945
Phone: (512) 338-9840
Fax: (512) 338-0863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 28006 Colorado

Profile Details

NPI number 1831173707
LBN Legal business name Taylor, Wallace Edmondson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Dec 4th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831173707 NPPES
Colorado MEDICAID 01280064
Colorado Other P00209209
Colorado Other TA37805

Popular Providers