Provider Demographics
NPI:1578987095
Name:TAYLOR, JAMES NORMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NORMAN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 W HARWOOD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-7013
Mailing Address - Country:US
Mailing Address - Phone:817-770-4773
Mailing Address - Fax:
Practice Address - Street 1:124 W HARWOOD RD
Practice Address - Street 2:SUITE B
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-7013
Practice Address - Country:US
Practice Address - Phone:817-770-4773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX363693ZJA4Medicare PIN