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NPI Code Detail

MEDICARE: TAYLOR NICOLE GUZMAN PA-C

MEDICARE: TAYLOR NICOLE GUZMAN PA-C
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
1363A00000XPhysician AssistantPA11569TX

General Provider Information

NPI Number : 1083125454
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR NICOLE GUZMAN PA-C
Provider Business Mailing Address
First Line : PO BOX 650859, DEPT. 710
Second Line :
City : DALLAS
State : TX
Zip : 75265-0859
Country : US
Telephone Number : 409-772-2222
Fax Number :
Provider Business Practice Location Address
First Line : 6710 STEWART RD STE 100
Second Line :
City : GALVESTON
State : TX
Zip : 77551-2216
Country : US
Telephone Number : 409-744-4030
Fax Number : 409-740-4187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2017
Last Update Date : 03/12/2026

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Directions to “ TAYLOR NICOLE GUZMAN PA-C” Practice Location

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