Provider Demographics
NPI:1568655223
Name:TAYLOR, DARRIN (PTA)
Entity Type:Individual
Prefix:
First Name:DARRIN
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10777 RICHMOND AVE
Mailing Address - Street 2:510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042
Mailing Address - Country:US
Mailing Address - Phone:713-299-2408
Mailing Address - Fax:
Practice Address - Street 1:10777 RICHMOND AVE
Practice Address - Street 2:510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4914
Practice Address - Country:US
Practice Address - Phone:713-299-2408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2049746225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant