Provider Demographics
NPI:1891791869
Name:NAYLOR, DEBRA A (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:A
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3041 CHURCHILL DR
Mailing Address - Street 2:SUITE #300
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2706
Mailing Address - Country:US
Mailing Address - Phone:972-691-1240
Mailing Address - Fax:972-691-1240
Practice Address - Street 1:3041 CHURCHILL DR
Practice Address - Street 2:SUITE #300
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2706
Practice Address - Country:US
Practice Address - Phone:972-691-1240
Practice Address - Fax:972-691-2073
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8145208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10043118OtherAMERIGROUP
TX1776676OtherMCAID GRP TX HEALTH STEPS
TXNAYD124988OtherCHIPS PROGRAM
TX1737538Medicaid
TX0072NCOtherBCBS GROUP
TX8U6512OtherBCBS INDIVIDUAL
TX0072NCOtherBCBS GROUP
TX1737538Medicaid