Provider Demographics
NPI:1720393903
Name:TAYLOR, ROSEMARY
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16523 TERRACE HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7191
Mailing Address - Country:US
Mailing Address - Phone:832-814-3700
Mailing Address - Fax:281-240-5341
Practice Address - Street 1:16523 TERRACE HOLLOW LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7191
Practice Address - Country:US
Practice Address - Phone:832-814-3700
Practice Address - Fax:281-240-5341
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009497163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTPI182970701Medicaid
TX009497OtherD/B/A HEALTHPOINT HOME HEALTH AND INFUSION SERVICES
1154400778OtherNPI
677932Medicare Oscar/Certification