Provider Demographics
NPI:1528232568
Name:SHEPARD, TAYLOR HILL (MD)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:HILL
Last Name:SHEPARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 JAMES CASEY ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3365
Mailing Address - Country:US
Mailing Address - Phone:512-444-7944
Mailing Address - Fax:512-444-7946
Practice Address - Street 1:4315 JAMES CASEY ST
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3365
Practice Address - Country:US
Practice Address - Phone:512-444-7944
Practice Address - Fax:512-444-7946
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC141729207Y00000X
TXP1492207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX298362901Medicaid
TX8DC857OtherBCBS - HCAENTC
TX8DC852OtherBCBS-AENTC
TX298362902Medicaid
TXP01126789Medicare PIN
TXTXB152760Medicare PIN
TX8DC852OtherBCBS-AENTC