Provider Demographics
NPI:1821577859
Name:SIEMENS, TAYLOR (NP)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:SIEMENS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17311 DALLAS PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1149
Mailing Address - Country:US
Mailing Address - Phone:214-540-0371
Mailing Address - Fax:214-540-0381
Practice Address - Street 1:17311 DALLAS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1149
Practice Address - Country:US
Practice Address - Phone:214-540-0371
Practice Address - Fax:214-540-0381
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP1384502082S0099X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck