MEDICARE: TAYLOR N SAUCIER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	692128	TX

General Provider Information

NPI Number	:	1023687829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR N SAUCIER DPM

Provider Business Mailing Address
First Line	:	116 IMPERIAL DR STE A
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-3948
Country	:	US
Telephone Number	:	361-578-2777
Fax Number	:	361-578-2778

Provider Business Practice Location Address
First Line	:	116 IMPERIAL DR STE A
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-3948
Country	:	US
Telephone Number	:	361-578-2777
Fax Number	:	361-578-2778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2021
Last Update Date	:	06/04/2026

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Directions to “ TAYLOR N SAUCIER DPM” Practice Location

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