Provider Demographics
NPI:1891002549
Name:TAYLOR, MARTA E (FNP-C)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 LEADER ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-5628
Mailing Address - Country:US
Mailing Address - Phone:281-932-7816
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Practice Address - Street 2:7000 FANNIN ST, #1200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-500-4472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX661305363LF0000X
TXAP119119207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily