Taylor, Walter Jordan
Taylor, Walter Jordan is an individual health care provider with primary practice located at 5801 E 41St St Ste 900 , Tulsa OK 74135-5631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Taylor, Walter Jordan can be contacted via phone (918) 747-4975.Contact Information
Primary practice address
5801 E 41St St Ste 900
Tulsa OK 74135-5631
Phone: (918) 747-4975
Fax: (918) 743-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 19744 | Oklahoma |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 19744 | Oklahoma |
Profile Details
| NPI number | 1659368025 |
|---|---|
| LBN Legal business name | Taylor, Walter Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Nov 21st, 2023 - about last year |
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 | 1659368025 | NPPES |
| Oklahoma | Other | 300129677 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 100168390A | RAILROAD MEDICARE |
| Oklahoma | Other | 300060415 | RAILROAD MEDICARE |
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