Provider Demographics
NPI:1164053807
Name:BRITTON, TAYLOR RENEE
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:RENEE
Last Name:BRITTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 MARIGOLD CT
Mailing Address - Street 2:
Mailing Address - City:DRIFTWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78619-5738
Mailing Address - Country:US
Mailing Address - Phone:512-757-5910
Mailing Address - Fax:
Practice Address - Street 1:226 MARIGOLD CT
Practice Address - Street 2:
Practice Address - City:DRIFTWOOD
Practice Address - State:TX
Practice Address - Zip Code:78619-5738
Practice Address - Country:US
Practice Address - Phone:512-757-5910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program