Tidmore, Taylor Reed

Tidmore, Taylor Reed is an individual health care provider with primary practice located at 1233 N 18Th St , Abilene TX 79601-2932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tidmore, Taylor Reed can be contacted via phone (325) 437-3687.

Contact Information

Primary practice address
1233 N 18Th St Abilene TX 79601-2932
Phone: (325) 437-3687
Fax: (325) 437-1827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X T2003013847 Missouri
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X M6917 Texas

Profile Details

NPI number 1699879874
LBN Legal business name Tidmore, Taylor Reed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 13th, 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 1699879874 NPPES
Texas MEDICAID 196006401

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