Taylor, Walton Albert

Taylor, Walton Albert is an individual health care provider with primary practice located at 7777 Forest Ln Ste C204 , Dallas TX 75230-6833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Taylor, Walton Albert can be contacted via phone (972) 566-6115.

Contact Information

Primary practice address
7777 Forest Ln Ste C204 Dallas TX 75230-6833
Phone: (972) 566-6115
Fax: (214) 358-0186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X K9914 Texas

Profile Details

NPI number 1063455533
LBN Legal business name Taylor, Walton Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 6th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063455533 NPPES
Texas MEDICAID 148752204
Texas MEDICAID 148752203
Texas MEDICAID 148752201
Texas MEDICAID 148752202

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