Provider Demographics
NPI:1841306164
Name:TAYLOR, DENNIS RITCH (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:RITCH
Last Name:TAYLOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1105 CENTRAL EXPY N
Mailing Address - Street 2:STE 380
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6111
Mailing Address - Country:US
Mailing Address - Phone:972-747-5840
Mailing Address - Fax:972-747-5841
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:SUITE 375
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-747-5840
Practice Address - Fax:972-747-5841
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2017-03-14
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Provider Licenses
StateLicense IDTaxonomies
TXG7008207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00873YMedicare PIN