Provider Demographics
NPI:1497926851
Name:TAYLOR FAMILY WELLNESS CENTER, P.A.
Entity Type:Organization
Organization Name:TAYLOR FAMILY WELLNESS CENTER, P.A.
Other - Org Name:TAYLOR FAMILY CHIROPRACTIC, P.A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-387-7883
Mailing Address - Street 1:8501 WADE BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5890
Mailing Address - Country:US
Mailing Address - Phone:214-387-7883
Mailing Address - Fax:214-975-1122
Practice Address - Street 1:8501 WADE BLVD STE 240
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5890
Practice Address - Country:US
Practice Address - Phone:214-387-7883
Practice Address - Fax:214-975-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2010-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty