Provider Demographics
NPI:1336477330
Name:TAYLOR, ANDREA (RXM)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RXM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20675 FM 1093 RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7778
Mailing Address - Country:US
Mailing Address - Phone:281-239-3772
Mailing Address - Fax:281-239-6559
Practice Address - Street 1:20675 FM 1093 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7778
Practice Address - Country:US
Practice Address - Phone:281-239-3777
Practice Address - Fax:281-239-6596
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist