Provider Demographics
NPI:1356640189
Name:TAYLOR MEDICAL CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:TAYLOR MEDICAL CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:BARRINGTON
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-864-2050
Mailing Address - Street 1:1919 S SHILOH RD
Mailing Address - Street 2:SUITE#210
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-8234
Mailing Address - Country:US
Mailing Address - Phone:972-864-2050
Mailing Address - Fax:972-271-3437
Practice Address - Street 1:1919 S SHILOH RD
Practice Address - Street 2:SUITE#210
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-8234
Practice Address - Country:US
Practice Address - Phone:972-864-2050
Practice Address - Fax:972-271-3437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6508171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8303B7Medicare PIN
TXH22983Medicare UPIN