Provider Demographics
NPI:1841593308
Name:DR. BRITTON A. TAYLOR D.C.
Entity Type:Organization
Organization Name:DR. BRITTON A. TAYLOR D.C.
Other - Org Name:DR. BRITTON A. TAYLOR D.C. PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTON
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:D,C,
Authorized Official - Phone:817-481-7025
Mailing Address - Street 1:800 IRA E WOODS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-5538
Mailing Address - Country:US
Mailing Address - Phone:817-481-7025
Mailing Address - Fax:817-481-9621
Practice Address - Street 1:800 IRA E WOODS AVE
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-5538
Practice Address - Country:US
Practice Address - Phone:817-481-7025
Practice Address - Fax:817-481-9621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB122983OtherMEDICARE PTAN